Provider Demographics
NPI:1205481777
Name:RHONE, NADIA SUE-STEWART
Entity type:Individual
Prefix:
First Name:NADIA
Middle Name:SUE-STEWART
Last Name:RHONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NADIA
Other - Middle Name:S
Other - Last Name:RHONE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPN
Mailing Address - Street 1:3220 GUNTHER AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-3112
Mailing Address - Country:US
Mailing Address - Phone:347-366-4282
Mailing Address - Fax:
Practice Address - Street 1:3220 GUNTHER AVE APT 1
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-3112
Practice Address - Country:US
Practice Address - Phone:347-366-4282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-01
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY333073-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty