Provider Demographics
NPI:1518294024
Name:RHOADES, YVONNE MARY (FNP-C)
Entity type:Individual
Prefix:MS
First Name:YVONNE
Middle Name:MARY
Last Name:RHOADES
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 SW SARATOGA AVE
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-5976
Mailing Address - Country:US
Mailing Address - Phone:843-999-5988
Mailing Address - Fax:
Practice Address - Street 1:120 SW SARATOGA AVE
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-5976
Practice Address - Country:US
Practice Address - Phone:843-999-5988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-05
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP010794363LF0000X
SC3691363LF0000X
FL11035434363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily