Provider Demographics
NPI:1508951625
Name:BERTHOLF, RHONDA J (CNM)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:J
Last Name:BERTHOLF
Suffix:
Gender:F
Credentials:CNM
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Mailing Address - Street 1:612 KINGSBOROUGH SQUARE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-5054
Mailing Address - Country:US
Mailing Address - Phone:757-436-0167
Mailing Address - Fax:757-549-1767
Practice Address - Street 1:612 KINGSBOROUGH SQUARE
Practice Address - Street 2:SUITE 200
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-5054
Practice Address - Country:US
Practice Address - Phone:757-436-0167
Practice Address - Fax:757-549-1767
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2013-05-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0024088077367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife