Individual
NATASHA CAROL RHODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
4121 VETERANS MEMORIAL DR, MOUNT VERNON, IL 62864-6262
(618) 242-3778
Mailing address
502 E ASH ST, OKAWVILLE, IL 62271-2253
(618) 967-7936
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209026552
IL
363LA2200X
Adult Health Nurse Practitioner
2022043467
MO
363LP2300X
Primary Care Nurse Practitioner
2022043467
MO
Other
Enumeration date
11/15/2022
Last updated
03/13/2024
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