Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 7002 | NH |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 7002 | NH |
NPI | 1053428458 |
---|---|
Provider Name | Dr. Torunn Thorsen Rhodes |
First Address | Lebanon, NH 03756-1000 |
Second Address | Lebanon, NH 03756-1000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2006 |
Last Update Date | 08/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1002754 | (05) | VT |
30003136 | (05) | NH |
E23467 | (02) |