Provider Demographics
NPI:1518505106
Name:RHODEN, NEASHIA (APRN)
Entity Type:Individual
Prefix:
First Name:NEASHIA
Middle Name:
Last Name:RHODEN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3858 SHERIDAN ST STE S
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-3625
Mailing Address - Country:US
Mailing Address - Phone:954-397-3251
Mailing Address - Fax:
Practice Address - Street 1:3858 SHERIDAN ST STE S
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-3625
Practice Address - Country:US
Practice Address - Phone:954-397-3251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-15
Last Update Date:2019-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11005024363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily