Provider Demographics
NPI:1720232135
Name:QUENZER, RHONDA BROOKS (APRN, PMHNP)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:BROOKS
Last Name:QUENZER
Suffix:
Gender:F
Credentials:APRN, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1411 N RACE ST
Mailing Address - Street 2:
Mailing Address - City:GLASGOW
Mailing Address - State:KY
Mailing Address - Zip Code:42141-3474
Mailing Address - Country:US
Mailing Address - Phone:270-479-8900
Mailing Address - Fax:866-450-1078
Practice Address - Street 1:1411 N RACE ST
Practice Address - Street 2:
Practice Address - City:GLASGOW
Practice Address - State:KY
Practice Address - Zip Code:42141-3474
Practice Address - Country:US
Practice Address - Phone:270-479-8900
Practice Address - Fax:866-450-1078
Is Sole Proprietor?:No
Enumeration Date:2008-11-12
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1076446163W00000X
KY3010889363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse