Provider Demographics
NPI:1477093268
Name:WARE, RHONDA L (CNA)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:L
Last Name:WARE
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:L
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNA
Mailing Address - Street 1:277 LASALLE AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14215-1009
Mailing Address - Country:US
Mailing Address - Phone:716-228-7214
Mailing Address - Fax:
Practice Address - Street 1:277 LASALLE AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215-1009
Practice Address - Country:US
Practice Address - Phone:716-228-7214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-28
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY343448400713E376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide