Individual
MRS. ROBERTA M RHODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3706 SW 6TH AVE, STORMONT-VAIL WEST, TOPEKA, KS 66606-2084
(785) 270-4630
(785) 270-4628
Mailing address
3706 SW 6TH AVE, STORMONT-VAIL WEST, TOPEKA, KS 66606-2084
(785) 270-4630
(785) 270-4628
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-13-38358-101
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP 74314
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100251470A
—
KS
05
—
100251470F
—
KS
01
—
110661008
MEDICARE PTAN
KS
Enumeration date
09/14/2006
Last updated
03/02/2012
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