Provider Demographics
NPI:1083738728
Name:ANTHORY, RHONDA JEWEL (RN)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:JEWEL
Last Name:ANTHORY
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 1:11477 MAYFIELD RD
Mailing Address - Street 2:APT 920
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-5900
Mailing Address - Country:US
Mailing Address - Phone:216-571-1069
Mailing Address - Fax:
Practice Address - Street 1:11477 MAYFIELD RD
Practice Address - Street 2:APT 920
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-5900
Practice Address - Country:US
Practice Address - Phone:216-571-1069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN221639163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse