Provider Demographics
NPI:1356506950
Name:RHODES, WILLIAM R (ARNP)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:R
Last Name:RHODES
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1568
Mailing Address - Street 2:
Mailing Address - City:LYNN HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:32444-6368
Mailing Address - Country:US
Mailing Address - Phone:850-769-6612
Mailing Address - Fax:850-215-9408
Practice Address - Street 1:625 W BALDWIN RD
Practice Address - Street 2:SUITE C
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-3333
Practice Address - Country:US
Practice Address - Phone:850-769-6612
Practice Address - Fax:850-215-9408
Is Sole Proprietor?:No
Enumeration Date:2008-07-23
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP2800032363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner