Provider Demographics
NPI:1942968052
Name:GILBERTSON-EVANS, RHONDA J
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:J
Last Name:GILBERTSON-EVANS
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 1:3233 UNIVERSITY DR S
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-6221
Mailing Address - Country:US
Mailing Address - Phone:701-232-2452
Mailing Address - Fax:
Practice Address - Street 1:633 1ST AVE N
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58102-4963
Practice Address - Country:US
Practice Address - Phone:701-630-4237
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-06
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker