Provider Demographics
NPI:1184375263
Name:RHODES SHOWALTER, CARMEN ELIZABETH (NP)
Entity type:Individual
Prefix:MS
First Name:CARMEN
Middle Name:ELIZABETH
Last Name:RHODES SHOWALTER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:882 COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22802-5425
Mailing Address - Country:US
Mailing Address - Phone:540-209-1225
Mailing Address - Fax:
Practice Address - Street 1:101 HEARTLAND CT
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:VA
Practice Address - Zip Code:22821-9000
Practice Address - Country:US
Practice Address - Phone:540-879-9002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-11
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024183225363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily