Provider Demographics
NPI:1275865065
Name:NEAL, RHONDA LYNN (RN,BSN)
Entity Type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:LYNN
Last Name:NEAL
Suffix:
Gender:F
Credentials:RN,BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 BARTOW DR
Mailing Address - Street 2:
Mailing Address - City:BARBOURSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25504-1126
Mailing Address - Country:US
Mailing Address - Phone:304-416-0936
Mailing Address - Fax:
Practice Address - Street 1:101 MAIN ST.
Practice Address - Street 2:
Practice Address - City:CROWN CITY
Practice Address - State:OH
Practice Address - Zip Code:45623
Practice Address - Country:US
Practice Address - Phone:304-751-7927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-04
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHIR.949109-ENDS163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse