Provider Demographics
NPI:1548072630
Name:SAWYER, RONDA (APRN)
Entity type:Individual
Prefix:DR
First Name:RONDA
Middle Name:
Last Name:SAWYER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5657 ORION PL
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91739-2281
Mailing Address - Country:US
Mailing Address - Phone:562-208-6536
Mailing Address - Fax:
Practice Address - Street 1:5657 ORION PL
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91739-2281
Practice Address - Country:US
Practice Address - Phone:562-208-6536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2453364SP1700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP1700XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPerinatalGroup - Multi-Specialty