MEDICARE: ANNE RHOTON NP-C

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	363LF0000X	Family Nurse Practitioner	28147406A	IN
2	363LF0000X	Family Nurse Practitioner	11026146	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

General Provider Information

NPI Number	:	1952787251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE RHOTON NP-C

Provider Business Mailing Address
First Line	:	901 STERTHAUS DR
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-5133
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	21 HOSPITAL DR STE 260
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32164-2454
Country	:	US
Telephone Number	:	386-586-2000
Fax Number	:

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

Provider Enumeration Date	:	08/10/2015
Last Update Date	:	08/01/2023

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Directions to “ ANNE RHOTON NP-C” Practice Location

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