Provider Demographics
NPI:1770871261
Name:STRZELECKI, RHONDA M (RN,LPN,CNA)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:M
Last Name:STRZELECKI
Suffix:
Gender:F
Credentials:RN,LPN,CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P. O. BOX 246
Mailing Address - Street 2:151 W CTY HWY W UNIT A
Mailing Address - City:MANITOWISH WATERS
Mailing Address - State:WI
Mailing Address - Zip Code:54545
Mailing Address - Country:US
Mailing Address - Phone:715-543-2171
Mailing Address - Fax:
Practice Address - Street 1:151 COUNTY HWY W
Practice Address - Street 2:UNIT A
Practice Address - City:MANITOWISH WATERS
Practice Address - State:WI
Practice Address - Zip Code:54545-9321
Practice Address - Country:US
Practice Address - Phone:715-543-2171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-18
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI175272-030163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse