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Individual

MRS. EMILY J. RHODES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
200 N GATEWAY DR STE B, PROVIDENCE, UT 84332-9001
(435) 213-3597
Mailing address
798 CANYON VIEW DR, HYRUM, UT 84319-1703
(435) 632-5433

Taxonomy

Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
346516-3102
UT
363L00000X
Nurse Practitioner
Primary
346516-4405
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
346516-3102
STATE OF UT DOPL
UT
01
346516-4405
STATE OF UT DOPL
UT
Enumeration date
02/23/2022
Last updated
04/11/2023
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