Provider Demographics
NPI:1275537045
Name:DELLINGER, RONA M (NP)
Entity Type:Individual
Prefix:MRS
First Name:RONA
Middle Name:M
Last Name:DELLINGER
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 1:830 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COLDWATER
Mailing Address - State:OH
Mailing Address - Zip Code:45828-1626
Mailing Address - Country:US
Mailing Address - Phone:567-890-7143
Mailing Address - Fax:
Practice Address - Street 1:128 DRAKE
Practice Address - Street 2:
Practice Address - City:MENDON
Practice Address - State:OH
Practice Address - Zip Code:45862-8521
Practice Address - Country:US
Practice Address - Phone:419-795-2050
Practice Address - Fax:419-795-2051
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2115259Medicaid
OH2115259Medicaid
OHWINPO2721Medicare ID - Type UnspecifiedMEDICARE NUMBER