Provider Demographics
NPI:1679749568
Name:LEHN, RONDA L (CNP)
Entity Type:Individual
Prefix:
First Name:RONDA
Middle Name:L
Last Name:LEHN
Suffix:
Gender:F
Credentials:CNP
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Mailing Address - Street 1:3926 NEW VISION DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46845-1712
Mailing Address - Country:US
Mailing Address - Phone:260-266-8210
Mailing Address - Fax:260-458-5636
Practice Address - Street 1:104 NICHOLAS PLACE,
Practice Address - Street 2:BOX 859
Practice Address - City:AVILLA
Practice Address - State:IN
Practice Address - Zip Code:46710
Practice Address - Country:US
Practice Address - Phone:260-897-3308
Practice Address - Fax:260-897-3650
Is Sole Proprietor?:No
Enumeration Date:2008-05-01
Last Update Date:2022-10-20
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Provider Licenses
StateLicense IDTaxonomies
IN71002661A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
1679749568OtherANTHEM BCBS
IN200899790Medicaid
IN000000672964OtherANTHEM
INM400023056Medicare PIN