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Individual
SHIRLEY A RHODES-MCDONALD
Active
Individual
SHIRLEY A RHODES-MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
161333
TN
363LF0000X
Family Nurse Practitioner
Primary
15551
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619915113
CLINIC NPI
—
05
—
213342
—
OR
01
—
R120353
GROUP PTAN
—
Enumeration date
09/29/2010
Last updated
04/07/2020
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