Provider Demographics
NPI:1427191188
Name:RONSTADT, REBECCA F (RN)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:F
Last Name:RONSTADT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4601 N 34TH ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-3320
Mailing Address - Country:US
Mailing Address - Phone:602-381-6160
Mailing Address - Fax:602-381-6170
Practice Address - Street 1:4601 N 34TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-3320
Practice Address - Country:US
Practice Address - Phone:602-381-6160
Practice Address - Fax:602-381-6170
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN088504163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool