Provider Demographics
NPI:1760147011
Name:SCHLEGEL, RHONDA DENISE
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:DENISE
Last Name:SCHLEGEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 865
Mailing Address - Street 2:
Mailing Address - City:COALVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84017-0865
Mailing Address - Country:US
Mailing Address - Phone:435-640-5646
Mailing Address - Fax:
Practice Address - Street 1:142 S 50 E
Practice Address - Street 2:
Practice Address - City:COALVILLE
Practice Address - State:UT
Practice Address - Zip Code:84017-5542
Practice Address - Country:US
Practice Address - Phone:435-336-4403
Practice Address - Fax:435-783-2919
Is Sole Proprietor?:No
Enumeration Date:2021-11-02
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT328397-4405363LF0000X
UT328397-8900363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily