Individual
MRS. ELISA R. RHODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
221 US HIGHWAY 41 STE I, SCHERERVILLE, IN 46375-1278
(219) 864-3950
(219) 864-3952
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71001267A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200901050
—
IN
Enumeration date
07/06/2006
Last updated
10/17/2023
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