Provider Demographics
NPI:1205252277
Name:DUNLAP, RONDA
Entity type:Individual
Prefix:MS
First Name:RONDA
Middle Name:
Last Name:DUNLAP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RONDA
Other - Middle Name:
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:13499 STATE HIGHWAY 180
Mailing Address - Street 2:
Mailing Address - City:GULF SHORES
Mailing Address - State:AL
Mailing Address - Zip Code:36542-3241
Mailing Address - Country:US
Mailing Address - Phone:251-591-8437
Mailing Address - Fax:
Practice Address - Street 1:13499 STATE HIGHWAY 180
Practice Address - Street 2:
Practice Address - City:GULF SHORES
Practice Address - State:AL
Practice Address - Zip Code:36542-3241
Practice Address - Country:US
Practice Address - Phone:251-591-8437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-13
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2270976163W00000X
CA655493163W00000X
NY5585581163W00000X
MS860795163W00000X
AL1-089235163WM0705X
FL9164369163WM0705X
CO1624823163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No163W00000XNursing Service ProvidersRegistered Nurse