Basic Information
Provider Information
NPI: 1851554166
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AURE
FirstName: RHODA LYN
MiddleName: S
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 13059
Address2:  
City: BELFAST
State: ME
PostalCode: 049154021
CountryCode: US
TelephoneNumber: 3175833022
FaxNumber: 3175832199
Practice Location
Address1: 3700 WASHINGTON AVE
Address2:  
City: EVANSVILLE
State: IN
PostalCode: 477140541
CountryCode: US
TelephoneNumber: 8124857040
FaxNumber: 8124857042
Other Information
ProviderEnumerationDate: 07/07/2008
LastUpdateDate: 11/23/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/23/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RN0300X28204MSY Allopathic & Osteopathic PhysiciansInternal MedicineNephrology
207R00000X01074194AINN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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