Provider Demographics
NPI:1588623805
Name:PRICE, RHONDA LYNN (LPN)
Entity type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:LYNN
Last Name:PRICE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1823 N HUMBOLDT AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53202-1624
Mailing Address - Country:US
Mailing Address - Phone:414-273-8415
Mailing Address - Fax:
Practice Address - Street 1:1823 N HUMBOLDT AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53202-1624
Practice Address - Country:US
Practice Address - Phone:414-273-8415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-23
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI32187164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse