Doctor Name: | MELINDA RHOADS |
NPI Number: | 1104206440 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNM |
License Number: | 0024172609 |
Business Practice Address: | 19465 Deerfield Ave Suite 205 Lansdowne, VA - 201761701 |
Business Phone Number: | 7037264347 |
Business Fax Number: | 7037269612 |
Mailing Address: | 19465 Deerfield Ave, Suite 205 LANSDOWNE |
State: | VA |
Postal Code: | 201761701 |
Phone Number: | 7037264347 |
Fax Number: | 7037269612 |
NPI Enumeration Date: | 06/02/2015 |
NPI Last Update Date: | 06/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | 0024172609 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |