| Doctor Name: | MRS. ELISA R. RHODES |
| NPI Number: | 1124050810 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NURSE PRACTITIONER |
| License Number: | 71001267A |
| Business Practice Address: | 11355 W 97th Ln Saint John, IN - 463739601 |
| Business Phone Number: | 2193655577 |
| Business Fax Number: | |
| Mailing Address: | 757 45th Ave, MUNSTER |
| State: | IN |
| Postal Code: | 463212911 |
| Phone Number: | 2199342461 |
| Fax Number: | 2199342478 |
| NPI Enumeration Date: | 07/06/2006 |
| NPI Last Update Date: | 05/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 71001267A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |