Individual
JUNE ELLEN RHODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-NP
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
049141-23
NH
363LF0000X
Family Nurse Practitioner
SP012571
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015688
—
VT
05
—
30347064
—
NH
Enumeration date
11/04/2008
Last updated
10/23/2019
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