Provider Demographics
NPI:1154895845
Name:RHEW, MENDY DARLENE (RN CCM)
Entity type:Individual
Prefix:
First Name:MENDY
Middle Name:DARLENE
Last Name:RHEW
Suffix:
Gender:F
Credentials:RN CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 RANSOM SMITH RD
Mailing Address - Street 2:
Mailing Address - City:PLEASANT PLAINS
Mailing Address - State:AR
Mailing Address - Zip Code:72568-9644
Mailing Address - Country:US
Mailing Address - Phone:870-262-7782
Mailing Address - Fax:
Practice Address - Street 1:131 RANSOM SMITH RD
Practice Address - Street 2:
Practice Address - City:PLEASANT PLAINS
Practice Address - State:AR
Practice Address - Zip Code:72568-9644
Practice Address - Country:US
Practice Address - Phone:870-262-7782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-15
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR070678163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management