Provider Demographics
NPI:1023450509
Name:CUMPTON, RHONDA LEE (RN)
Entity type:Individual
Prefix:MISS
First Name:RHONDA
Middle Name:LEE
Last Name:CUMPTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 9101
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99209-9101
Mailing Address - Country:US
Mailing Address - Phone:509-844-8216
Mailing Address - Fax:509-325-7776
Practice Address - Street 1:517 E OLYMPIC AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-1554
Practice Address - Country:US
Practice Address - Phone:509-844-8216
Practice Address - Fax:509-325-7776
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WARN00108754163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse