Provider Demographics
NPI:1609557594
Name:TAYLOR, RHONDA DENISE (CERTIFIED NURSES AI)
Entity Type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:DENISE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:CERTIFIED NURSES AI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1003 CIRCLE M DR APT A
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76549-2238
Mailing Address - Country:US
Mailing Address - Phone:254-466-8106
Mailing Address - Fax:
Practice Address - Street 1:1003 CIRCLE M DR APT A
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76549-2238
Practice Address - Country:US
Practice Address - Phone:254-466-8106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-25
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXNA100064102278H0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedHome Health