Provider Demographics
NPI:1457687758
Name:HOLB, RHONDA R (APRN)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:R
Last Name:HOLB
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:R
Other - Last Name:LONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP, RN
Mailing Address - Street 1:943 S BENEVA RD STE 306
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-2473
Mailing Address - Country:US
Mailing Address - Phone:941-955-1108
Mailing Address - Fax:
Practice Address - Street 1:943 S BENEVA RD STE 306
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-2473
Practice Address - Country:US
Practice Address - Phone:941-362-8644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-22
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9411463363LA2200X
FLAPRN9411463363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health