Provider Demographics
NPI:1720387939
Name:ANTHONY, RHONDA (APRN)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:ANTHONY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:644 N SPENCE AVE
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-4233
Mailing Address - Country:US
Mailing Address - Phone:919-947-5392
Mailing Address - Fax:419-406-4085
Practice Address - Street 1:644 N SPENCE AVE
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-4233
Practice Address - Country:US
Practice Address - Phone:919-947-5392
Practice Address - Fax:419-406-4085
Is Sole Proprietor?:No
Enumeration Date:2011-03-28
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5009718363LF0000X
TNRN0000168677163W00000X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse