Provider Demographics
NPI:1871896787
Name:RHODES, MERRI LEE (DNP, ACNP-BC)
Entity type:Individual
Prefix:DR
First Name:MERRI LEE
Middle Name:
Last Name:RHODES
Suffix:
Gender:F
Credentials:DNP, ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1509 NW 33RD AVENUE
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33993-9466
Mailing Address - Country:US
Mailing Address - Phone:239-738-5547
Mailing Address - Fax:
Practice Address - Street 1:TRADEWINDS ADULT MEDICAL PRACTICE, LLC
Practice Address - Street 2:1509 NW 33RD AVENUE
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33993-9466
Practice Address - Country:US
Practice Address - Phone:239-738-5547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-15
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9482458363LA2200X
FLARNP9282458363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102973008Medicaid
FLGBOWKOtherFLORIDA BLUE
FL025071900Medicaid
PA1871896787OtherNPPES