Provider Demographics
NPI:1407301591
Name:RHODES, GERARD MARCEL (ARNP)
Entity type:Individual
Prefix:
First Name:GERARD
Middle Name:MARCEL
Last Name:RHODES
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7825 KOTZ CT
Mailing Address - Street 2:APT# 1127
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-3556
Mailing Address - Country:US
Mailing Address - Phone:352-284-0370
Mailing Address - Fax:
Practice Address - Street 1:7825 KOTZ CT
Practice Address - Street 2:APT# 1127
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-3556
Practice Address - Country:US
Practice Address - Phone:352-284-0370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-18
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9284863363LF0000X
NC285521363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily