Provider Demographics
NPI:1366846594
Name:EDWARDS, RHONDA RONEE (LPN,ADMIN,INSTRUCTOR)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:RONEE
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:LPN,ADMIN,INSTRUCTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 114
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ME
Mailing Address - Zip Code:04258-0114
Mailing Address - Country:US
Mailing Address - Phone:120-799-8373
Mailing Address - Fax:120-799-8373
Practice Address - Street 1:158 COBB RD
Practice Address - Street 2:
Practice Address - City:POLAND
Practice Address - State:ME
Practice Address - Zip Code:04274-6337
Practice Address - Country:US
Practice Address - Phone:207-998-3730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-17
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME0251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health