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Individual
MARY SUE RHOADS
Active
Individual
MARY SUE RHOADS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000006617
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3730834
—
TN
01
—
4019606
BCBS
TN
Enumeration date
05/24/2006
Last updated
06/17/2010
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