Provider Demographics
NPI:1659374940
Name:STRUNK, RHONDA L (APN-C)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:L
Last Name:STRUNK
Suffix:
Gender:F
Credentials:APN-C
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:L
Other - Last Name:STRUNK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APN
Mailing Address - Street 1:3950 G.S. RICHARDS BLVD.
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89703-8457
Mailing Address - Country:US
Mailing Address - Phone:775-324-0699
Mailing Address - Fax:775-323-6814
Practice Address - Street 1:640 W MOANA LN
Practice Address - Street 2:STE 2
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-4857
Practice Address - Country:US
Practice Address - Phone:775-324-0699
Practice Address - Fax:775-323-6814
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV000633372500000X
NVAPN000633363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No372500000XNursing Service Related ProvidersChore Provider
Provider Identifiers
StateIdentifier IDID TypeIssuer
P31106Medicare UPIN
34824Medicare ID - Type Unspecified