Provider Demographics
NPI:1689463606
Name:NERENBERG, RHONDA (RN, NBC-HWC)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:NERENBERG
Suffix:
Gender:
Credentials:RN, NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6218 W HANOVER WAY
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:UT
Mailing Address - Zip Code:84003-5523
Mailing Address - Country:US
Mailing Address - Phone:801-850-3433
Mailing Address - Fax:
Practice Address - Street 1:6218 W HANOVER WAY
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:UT
Practice Address - Zip Code:84003-5523
Practice Address - Country:US
Practice Address - Phone:801-850-3433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
A-3076328171400000X
UT8876991-3102163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No171400000XOther Service ProvidersHealth & Wellness Coach