Basic Information
| Provider Information | |||||||||
| NPI: | 1245253921 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RHODES | ||||||||
| FirstName: | TAMARA | ||||||||
| MiddleName: | L | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | RN, MSN, ARNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3605 MURDOCH AVE | ||||||||
| Address2: | |||||||||
| City: | PARKERSBURG | ||||||||
| State: | WV | ||||||||
| PostalCode: | 261011026 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3044852700 | ||||||||
| FaxNumber: | 3044850481 | ||||||||
| Practice Location | |||||||||
| Address1: | 517 36TH ST | ||||||||
| Address2: | |||||||||
| City: | PARKERSBURG | ||||||||
| State: | WV | ||||||||
| PostalCode: | 261011006 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3044851044 | ||||||||
| FaxNumber: | 3044221861 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/25/2006 | ||||||||
| LastUpdateDate: | 04/05/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 25520 | WV | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.