Provider Demographics
NPI:1790856912
Name:CISZEWSKI, RHONDA D (MD)
Entity Type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:D
Last Name:CISZEWSKI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:103 W BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37801-4703
Mailing Address - Country:US
Mailing Address - Phone:865-273-1752
Mailing Address - Fax:865-273-1755
Practice Address - Street 1:266 JOULE ST
Practice Address - Street 2:
Practice Address - City:ALCOA
Practice Address - State:TN
Practice Address - Zip Code:37701-2422
Practice Address - Country:US
Practice Address - Phone:865-984-3864
Practice Address - Fax:865-380-2131
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2023-05-31
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Provider Licenses
StateLicense IDTaxonomies
TN11569363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3641772Medicaid
TN3641772Medicare ID - Type Unspecified