Provider Demographics
NPI:1033133509
Name:KAISER, RHONDA A (NP)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:A
Last Name:KAISER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:277 DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:N TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-4631
Mailing Address - Country:US
Mailing Address - Phone:716-694-3541
Mailing Address - Fax:716-694-3543
Practice Address - Street 1:277 DIVISION ST
Practice Address - Street 2:
Practice Address - City:N TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14120
Practice Address - Country:US
Practice Address - Phone:716-694-3541
Practice Address - Fax:716-694-3543
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY303094363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP14695Medicare UPIN