Provider Demographics
NPI:1295279792
Name:GREEN-RHODEN, ROSALIND GRACE-ANN (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ROSALIND
Middle Name:GRACE-ANN
Last Name:GREEN-RHODEN
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Gender:F
Credentials:FNP-C
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Mailing Address - Street 1:856 J CLYDE MORRIS BLVD
Mailing Address - Street 2:RIVERSIDE MEDICAL GROUP
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1318
Mailing Address - Country:US
Mailing Address - Phone:757-594-4006
Mailing Address - Fax:
Practice Address - Street 1:858 J CLYDE MORRIS BLVD
Practice Address - Street 2:RIVERSIDE SUBURBAN FAMILY PRACTICE
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-1303
Practice Address - Country:US
Practice Address - Phone:757-594-4343
Practice Address - Fax:757-594-4321
Is Sole Proprietor?:No
Enumeration Date:2016-12-19
Last Update Date:2017-02-06
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Provider Licenses
StateLicense IDTaxonomies
VA0024174299363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily