Provider Demographics
NPI:1396320461
Name:RHOADS, BRANDI (FNP)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:RHOADS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20705 N CLARK SWITCHBOARD RD
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:IL
Mailing Address - Zip Code:62441-3332
Mailing Address - Country:US
Mailing Address - Phone:217-808-1441
Mailing Address - Fax:877-242-1488
Practice Address - Street 1:3560 S 4TH ST
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47802
Practice Address - Country:US
Practice Address - Phone:812-235-8496
Practice Address - Fax:812-478-1540
Is Sole Proprietor?:No
Enumeration Date:2021-03-10
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041466560163W00000X
VA0024182424363L00000X
FL11014802363L00000X
IN71011229A363L00000X
IL209023053363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse