Provider Demographics
NPI:1972200723
Name:HARPER, RHONDA F
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:F
Last Name:HARPER
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 1:10600 CHEVROLET WAY STE 105
Mailing Address - Street 2:
Mailing Address - City:ESTERO
Mailing Address - State:FL
Mailing Address - Zip Code:33928-4421
Mailing Address - Country:US
Mailing Address - Phone:813-291-4695
Mailing Address - Fax:
Practice Address - Street 1:10600 CHEVROLET WAY STE 105
Practice Address - Street 2:
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:33928-4421
Practice Address - Country:US
Practice Address - Phone:772-260-4224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN3314382163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant