Individual
MR. NICHOLAS RHOADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7777 HENNESSY BLVD, SUITE 208-A, BATON ROUGE, LA 70808-4300
(225) 765-7163
(225) 765-7164
Mailing address
5930 FREDERICK CROSSING LN, FREDERICK, MD 21704-5137
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200101
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031054
—
LA
01
—
P00470184
RAILROAD MCARE THRU PEPA
LA
Enumeration date
11/09/2007
Last updated
03/07/2022
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