Provider Demographics
NPI:1649976630
Name:CALDWELL-RHODES, HERLECIA RENAY (CRNP)
Entity type:Individual
Prefix:MRS
First Name:HERLECIA
Middle Name:RENAY
Last Name:CALDWELL-RHODES
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 JACKSON RD
Mailing Address - Street 2:
Mailing Address - City:SAWYERVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36776-5019
Mailing Address - Country:US
Mailing Address - Phone:205-821-1618
Mailing Address - Fax:
Practice Address - Street 1:104 JACKSON RD
Practice Address - Street 2:
Practice Address - City:SAWYERVILLE
Practice Address - State:AL
Practice Address - Zip Code:36776-5019
Practice Address - Country:US
Practice Address - Phone:205-821-1618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-140730363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily