Provider Demographics
NPI:1639979875
Name:COONEY, RHONDA KAY
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:KAY
Last Name:COONEY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:BROWNVILLE
Mailing Address - State:NE
Mailing Address - Zip Code:68321-6002
Mailing Address - Country:US
Mailing Address - Phone:402-825-3971
Mailing Address - Fax:
Practice Address - Street 1:430 N 2ND ST
Practice Address - Street 2:
Practice Address - City:BROWNVILLE
Practice Address - State:NE
Practice Address - Zip Code:68321-6002
Practice Address - Country:US
Practice Address - Phone:402-825-3971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant