Provider Demographics
NPI:1528261864
Name:RHODE, NADA NOVAKOVICH (NP)
Entity type:Individual
Prefix:MRS
First Name:NADA
Middle Name:NOVAKOVICH
Last Name:RHODE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 MARCHANT CT
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:CA
Mailing Address - Zip Code:94707-1218
Mailing Address - Country:US
Mailing Address - Phone:510-295-3461
Mailing Address - Fax:
Practice Address - Street 1:14 MARCHANT CT
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:CA
Practice Address - Zip Code:94707-1218
Practice Address - Country:US
Practice Address - Phone:510-295-3461
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA559313363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics