HEPWORTH, RHONDA (CNM)

Provider Demographics

• NPI: 1639102304
• Name: HEPWORTH, RHONDA (CNM)
• Entity Type: Individual
• First Name: RHONDA
• Last Name: HEPWORTH
• Gender: F
• Credentials: CNM
• Mailing Address - Street 1: 2400 S AVENUE A
• Mailing Address - City: YUMA
• Mailing Address - State: AZ
• Mailing Address - Zip Code: 85364-7127
• Mailing Address - Country: US
• Mailing Address - Phone: 928-783-3050
• Mailing Address - Fax: 928-783-7783
• Practice Address - Street 1: 2911 S 8TH AVE
• Practice Address - City: YUMA
• Practice Address - State: AZ
• Practice Address - Zip Code: 85364-8000
• Practice Address - Country: US
• Practice Address - Phone: 928-336-7030
• Practice Address - Fax: 928-783-7783
• Is Sole Proprietor?: No
• Enumeration Date: 2006-07-08
• Last Update Date: 2023-10-27

Provider Licenses

State	License ID	Taxonomies
AZ	AP1350	367A00000X
AZ	RN114448	176B00000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	367A00000X	Physician Assistants & Advanced Practice Nursing Providers	Advanced Practice Midwife
No	176B00000X	Other Service Providers	Midwife

Provider Identifiers

State	Identifier ID	ID Type	Issuer
AZ	638695	Medicaid
AZ	638695	Medicaid
	1043324932	Other	CLINIC NPI
	1063433720	Other	CLINIC NPI
	1962507376	Other	CLINIC NPI
AZ	Z21130	Medicare PIN
	P57335	Medicare UPIN
	031824	Medicare Oscar/Certification
AZ	Z70269	Medicare PIN
AZ	Z21115	Medicare PIN
	1962507376	Other	CLINIC NPI
	1043324932	Other	CLINIC NPI
AZ	638695	Medicaid
AZ	Z69863	Medicare PIN
	1245344316	Other	CLINIC NPI
AZ	Z21116	Medicare PIN
AZ	Z21113	Medicare PIN
AZ	031823	Medicare Oscar/Certification
AZ	Z114327	Medicare PIN
AZ	Z21130	Medicare PIN