Provider Demographics
NPI:1093095903
Name:FRIEND, RHODA GAYLE (NP-C)
Entity Type:Individual
Prefix:MS
First Name:RHODA
Middle Name:GAYLE
Last Name:FRIEND
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9
Mailing Address - Street 2:
Mailing Address - City:RUSH
Mailing Address - State:CO
Mailing Address - Zip Code:80833-0009
Mailing Address - Country:US
Mailing Address - Phone:719-478-5001
Mailing Address - Fax:
Practice Address - Street 1:2020 W COLORADO AVE
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80904-3882
Practice Address - Country:US
Practice Address - Phone:719-632-9699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-23
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO130386363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily