Provider Demographics
NPI:1043391824
Name:RHODES, SHARON H (FNP)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:H
Last Name:RHODES
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:860 OMNI BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-4430
Mailing Address - Country:US
Mailing Address - Phone:572-328-7697
Mailing Address - Fax:757-232-8875
Practice Address - Street 1:100 CONSTITUTION DR STE 217
Practice Address - Street 2:
Practice Address - City:VA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-6799
Practice Address - Country:US
Practice Address - Phone:757-963-1488
Practice Address - Fax:757-763-6350
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2020-02-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0024165761363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA014170F36Medicare Oscar/Certification