Provider Demographics
NPI:1871945873
Name:RHOADES, ELIZABETH ABBOTT (APRN)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ABBOTT
Last Name:RHOADES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6259
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29804-6259
Mailing Address - Country:US
Mailing Address - Phone:803-226-0739
Mailing Address - Fax:
Practice Address - Street 1:5110 WOODSIDE EXECUTIVE CT
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803-3814
Practice Address - Country:US
Practice Address - Phone:803-226-0739
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-01
Last Update Date:2016-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC20301363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care