Doctor Name: | MRS. JOANNE KRISTEN RHOADS |
NPI Number: | 1275511628 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CFNP |
License Number: | NP5747 |
Business Practice Address: | 35414 Willow Dr. Raymond, CA - 936530307 |
Business Phone Number: | 5593045700 |
Business Fax Number: | |
Mailing Address: | Po Box 307, RAYMOND |
State: | CA |
Postal Code: | 936530307 |
Phone Number: | 5593045700 |
Fax Number: | |
NPI Enumeration Date: | 01/05/2006 |
NPI Last Update Date: | 03/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | NP5747 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |