Provider Demographics
NPI:1124805072
Name:RHODES, YVONNE AMY DOBBENGA (RN, CNS)
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:AMY DOBBENGA
Last Name:RHODES
Suffix:
Gender:F
Credentials:RN, CNS
Other - Prefix:
Other - First Name:YVONNE
Other - Middle Name:AMY
Other - Last Name:DOBBENGA-RHODES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN, CNS
Mailing Address - Street 1:2000 MOWRY AVE
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-1746
Mailing Address - Country:US
Mailing Address - Phone:510-818-7813
Mailing Address - Fax:
Practice Address - Street 1:2000 MOWRY AVE
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1746
Practice Address - Country:US
Practice Address - Phone:510-818-7813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA615364SP1700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP1700XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPerinatal