Provider Demographics
NPI:1649744202
Name:REXROAT, RHANDI LEE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:RHANDI
Middle Name:LEE
Last Name:REXROAT
Suffix:
Gender:F
Credentials:FNP
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 766
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67846-0766
Mailing Address - Country:US
Mailing Address - Phone:620-271-7400
Mailing Address - Fax:620-708-4027
Practice Address - Street 1:113 S MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:ULYSSES
Practice Address - State:KS
Practice Address - Zip Code:67880-2519
Practice Address - Country:US
Practice Address - Phone:620-356-2432
Practice Address - Fax:620-356-4050
Is Sole Proprietor?:No
Enumeration Date:2019-01-17
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS78381363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily