Provider Demographics
NPI:1396055265
Name:DAVIS, RHONDA HINA (NP-C, RD)
Entity type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:HINA
Last Name:DAVIS
Suffix:
Gender:F
Credentials:NP-C, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:230 MITCHELL ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:MILLSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19966-9402
Mailing Address - Country:US
Mailing Address - Phone:302-648-2099
Mailing Address - Fax:302-648-2097
Practice Address - Street 1:28539 DUPONT BLVD STE B
Practice Address - Street 2:
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966-4798
Practice Address - Country:US
Practice Address - Phone:302-648-2099
Practice Address - Fax:302-648-2097
Is Sole Proprietor?:No
Enumeration Date:2010-10-13
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEDN-0000238133V00000X
DELP-0000113363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered