Provider Demographics
NPI:1265002331
Name:RATLIFF, RHIANNA K
Entity Type:Individual
Prefix:
First Name:RHIANNA
Middle Name:K
Last Name:RATLIFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 EIGHT MILE HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25306-9127
Mailing Address - Country:US
Mailing Address - Phone:304-540-1190
Mailing Address - Fax:
Practice Address - Street 1:47 EIGHT MILE HOLLOW RD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25306-9127
Practice Address - Country:US
Practice Address - Phone:304-590-1190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-30
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant