Provider Demographics
NPI:1578118063
Name:MESECAR, RHONDA RENEE (LPN)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:RENEE
Last Name:MESECAR
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 1:401 LIBBY ST
Mailing Address - Street 2:
Mailing Address - City:PINCONNING
Mailing Address - State:MI
Mailing Address - Zip Code:48650-8463
Mailing Address - Country:US
Mailing Address - Phone:989-708-0799
Mailing Address - Fax:
Practice Address - Street 1:401 LIBBY ST
Practice Address - Street 2:
Practice Address - City:PINCONNING
Practice Address - State:MI
Practice Address - Zip Code:48650-8463
Practice Address - Country:US
Practice Address - Phone:989-708-0799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-02
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4703088328164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse