Provider Demographics
NPI:1417365933
Name:SOMYK, RHONDA (RN, CDOE)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:SOMYK
Suffix:
Gender:F
Credentials:RN, CDOE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 UMBRELLA WAY
Mailing Address - Street 2:
Mailing Address - City:MANVILLE
Mailing Address - State:RI
Mailing Address - Zip Code:02838-1249
Mailing Address - Country:US
Mailing Address - Phone:401-301-0856
Mailing Address - Fax:401-765-7605
Practice Address - Street 1:3 UMBRELLA WAY
Practice Address - Street 2:
Practice Address - City:MANVILLE
Practice Address - State:RI
Practice Address - Zip Code:02838-1249
Practice Address - Country:US
Practice Address - Phone:401-301-0856
Practice Address - Fax:401-765-7605
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-28
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI133NN1002X133NN1002X
RIRN37944163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No163W00000XNursing Service ProvidersRegistered Nurse