Provider Demographics
NPI:1790904696
Name:MALONEY, RHONDA L (MSN, NP-C)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:L
Last Name:MALONEY
Suffix:
Gender:F
Credentials:MSN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:610 JONES FERRY RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-6113
Mailing Address - Country:US
Mailing Address - Phone:919-929-1747
Mailing Address - Fax:919-933-5168
Practice Address - Street 1:610 JONES FERRY RD
Practice Address - Street 2:SUITE 102
Practice Address - City:CARRBORO
Practice Address - State:NC
Practice Address - Zip Code:27510-6113
Practice Address - Country:US
Practice Address - Phone:919-929-1747
Practice Address - Fax:919-933-5168
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5007430363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX617570OtherRN LICENSE NUMBER
NC5007430OtherNC LICENSE
TXF0307021OtherFAMILY NURSE PRACTITIONER