Provider Demographics
NPI:1891021846
Name:EMORY, RONDA S (CRNA)
Entity Type:Individual
Prefix:
First Name:RONDA
Middle Name:S
Last Name:EMORY
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1901 ULMERTON RD
Mailing Address - Street 2:SUITE 450
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33762-2300
Mailing Address - Country:US
Mailing Address - Phone:727-573-7777
Mailing Address - Fax:727-573-7710
Practice Address - Street 1:1200 7TH AVE NORTH
Practice Address - Street 2:
Practice Address - City:ST. PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-1300
Practice Address - Country:US
Practice Address - Phone:727-825-1100
Practice Address - Fax:727-573-7710
Is Sole Proprietor?:No
Enumeration Date:2009-10-27
Last Update Date:2017-01-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN28109860A367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered