Provider Demographics
NPI:1578108544
Name:DEGREE, RHONDA JOYCE (LPN)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:JOYCE
Last Name:DEGREE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 WALSH RD
Mailing Address - Street 2:
Mailing Address - City:EAST LANSDOWNE
Mailing Address - State:PA
Mailing Address - Zip Code:19050-2154
Mailing Address - Country:US
Mailing Address - Phone:215-431-4810
Mailing Address - Fax:
Practice Address - Street 1:126 WALSH RD
Practice Address - Street 2:
Practice Address - City:EAST LANSDOWNE
Practice Address - State:PA
Practice Address - Zip Code:19050-2154
Practice Address - Country:US
Practice Address - Phone:215-431-4810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-13
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN261870164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse