Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 23412 | TN |
NPI | 1548772304 |
---|---|
Provider Name | Dakota Kathlyn Rhodes |
First Address | Antioch, TN 37013-1154 |
Second Address | Nashville, TN 37232-0004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2017 |
Last Update Date | 15/10/2020 |