Provider Demographics
NPI:1427125566
Name:HANSSEN, RONDI JOY (RN)
Entity type:Individual
Prefix:MRS
First Name:RONDI
Middle Name:JOY
Last Name:HANSSEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43014 260TH ST
Mailing Address - Street 2:
Mailing Address - City:EMERY
Mailing Address - State:SD
Mailing Address - Zip Code:57332-5805
Mailing Address - Country:US
Mailing Address - Phone:605-449-4659
Mailing Address - Fax:605-449-4659
Practice Address - Street 1:43014 260TH ST
Practice Address - Street 2:
Practice Address - City:EMERY
Practice Address - State:SD
Practice Address - Zip Code:57332-5805
Practice Address - Country:US
Practice Address - Phone:605-449-4659
Practice Address - Fax:605-449-4659
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDR026784163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse