Individual
REBECCA A RHODES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN,BC
Contact information
Practice address
212 N MAIN ST, FAIRFAX, OK 74637-3023
(918) 642-3100
(918) 642-5415
Mailing address
212 N MAIN ST, FAIRFAX, OK 74637-3023
(918) 642-3100
(918) 642-5639
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0127981
OK
363L00000X
Nurse Practitioner
Primary
RN039317
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124419
—
LA
Enumeration date
10/06/2006
Last updated
03/17/2018
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