Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 13009 | OH |
Y | 363LA2100X | Nurse Practitioner - Acute Care | 13009-NP | OH |
NPI | 1003104837 |
---|---|
Provider Name | Ms. Laura Rhodes |
First Address | Cleveland, OH 44195 |
Second Address | Cleveland, OH 44195 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2011 |
Last Update Date | 18/01/2012 |