Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 1-078224 | AL |
NPI | 1003130444 |
---|---|
Provider Name | Ms. Lisa Gay Rhodes |
First Address | Huntsville, AL 35893 |
Second Address | Huntsville, AL 35893 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2010 |
Last Update Date | 13/07/2020 |