Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 2249-033 | WI |
N | 363LN0000X | Nurse Practitioner - Neonatal | 2249-33 | WI |
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 2249-33 | WI |
NPI | 1043494792 |
---|---|
Provider Name | R Christian Rhoads |
First Address | Beloit, WI 53511-9815 |
Second Address | Beloit, WI 53511-9815 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2007 |
Last Update Date | 03/12/2021 |