MEDICARE: DR. MERRI LEE RHODES DNP, ACNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	APRN9482458	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	GBOWK	OTHER	FL	FLORIDA BLUE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1871896787	OTHER	PA	NPPES
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871896787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MERRI LEE RHODES DNP, ACNP-BC

Provider Business Mailing Address
First Line	:	1509 NW 33RD AVENUE
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33993-9466
Country	:	US
Telephone Number	:	239-738-5547
Fax Number	:

Provider Business Practice Location Address
First Line	:	TRADEWINDS ADULT MEDICAL PRACTICE, LLC
Second Line	:	1509 NW 33RD AVENUE
City	:	CAPE CORAL
State	:	FL
Zip	:	33993-9466
Country	:	US
Telephone Number	:	239-738-5547
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2010
Last Update Date	:	05/07/2024

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