Provider Demographics
NPI:1073027264
Name:CHAMBERLAIN, RHODA JOY (NP-C)
Entity type:Individual
Prefix:
First Name:RHODA
Middle Name:JOY
Last Name:CHAMBERLAIN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7423 S MASON MONTGOMERY RD STE B
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-7828
Mailing Address - Country:US
Mailing Address - Phone:513-398-3445
Mailing Address - Fax:513-398-4680
Practice Address - Street 1:7423 S MASON MONTGOMERY RD STE B
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-7828
Practice Address - Country:US
Practice Address - Phone:513-398-3445
Practice Address - Fax:513-398-4680
Is Sole Proprietor?:No
Enumeration Date:2017-11-27
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.021953363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily