Individual
DEBRA R RHOADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(906) 774-3300
Mailing address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(906) 774-3300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704194818
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4201526
—
MI
01
—
43968000
EDS
—
01
—
500008029
RR CARE
—
01
—
500C610070
BCBS
—
Enumeration date
06/16/2005
Last updated
12/14/2018
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