Provider Demographics
NPI:1598044430
Name:RIFE, RHONDA SUE
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:SUE
Last Name:RIFE
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:RHONDA
Other - Middle Name:SUE
Other - Last Name:RIFE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:3428 SANDALWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45502-9523
Mailing Address - Country:US
Mailing Address - Phone:937-342-1462
Mailing Address - Fax:
Practice Address - Street 1:3428 SANDALWOOD AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45502-9523
Practice Address - Country:US
Practice Address - Phone:937-342-1462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-09
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN255261163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse