Provider Demographics
NPI:1831862945
Name:WILLIAMS, RONDANIELLE SINCERITY (RN, MSN)
Entity type:Individual
Prefix:
First Name:RONDANIELLE
Middle Name:SINCERITY
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:RN, MSN
Other - Prefix:MRS
Other - First Name:RONDANIELLE
Other - Middle Name:SINCERITY
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN, FNP-C
Mailing Address - Street 1:1551 N CARPENTER RD
Mailing Address - Street 2:
Mailing Address - City:TITUSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32796-1171
Mailing Address - Country:US
Mailing Address - Phone:321-525-2303
Mailing Address - Fax:
Practice Address - Street 1:1551 N CARPENTER RD
Practice Address - Street 2:
Practice Address - City:TITUSVILLE
Practice Address - State:FL
Practice Address - Zip Code:32796-1171
Practice Address - Country:US
Practice Address - Phone:321-525-2303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-26
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9340613163W00000X
FLAPRN11013970363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse