Provider Demographics
NPI:1124043237
Name:RHODES, HELEN C (CRNA)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:C
Last Name:RHODES
Suffix:
Gender:F
Credentials:CRNA
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 1230
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16804-1230
Mailing Address - Country:US
Mailing Address - Phone:814-235-3898
Mailing Address - Fax:814-235-3899
Practice Address - Street 1:1850 E PARK AVE
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16803-6706
Practice Address - Country:US
Practice Address - Phone:814-234-6750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN171320L367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA02989401OtherKEYSTONE HEALTH PLAN CENT
PA50750OtherGEISINGER HEALTH PLAN
PA02989401OtherCAPITAL BLUE CROSS
PA019112Medicare ID - Type Unspecified