Provider Demographics
NPI:1770734402
Name:LEACH, RHONDA JOYCE (DNP, WHNP-BC)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:JOYCE
Last Name:LEACH
Suffix:
Gender:F
Credentials:DNP, WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MENOPAUSE SOLUTIONS
Mailing Address - Street 2:721 LONG POINT RD STE 407
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464
Mailing Address - Country:US
Mailing Address - Phone:843-810-5974
Mailing Address - Fax:843-936-4972
Practice Address - Street 1:MENOPAUSE SOLUTIONS
Practice Address - Street 2:721 LONG POINT RD STE 407
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464
Practice Address - Country:US
Practice Address - Phone:843-810-5974
Practice Address - Fax:843-936-4972
Is Sole Proprietor?:No
Enumeration Date:2008-09-30
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9442154363L00000X
KY3005739363LW0102X
SC26628207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100064440Medicaid
KYK033501Medicare PIN