Provider Demographics
NPI:1912509290
Name:DENNSTEDT, RHONDA GAIL (RN)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:GAIL
Last Name:DENNSTEDT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26090 BYRON DR
Mailing Address - Street 2:
Mailing Address - City:NORTH OLMSTED
Mailing Address - State:OH
Mailing Address - Zip Code:44070-1914
Mailing Address - Country:US
Mailing Address - Phone:440-463-9255
Mailing Address - Fax:
Practice Address - Street 1:26090 BYRON DR
Practice Address - Street 2:
Practice Address - City:NORTH OLMSTED
Practice Address - State:OH
Practice Address - Zip Code:44070-1914
Practice Address - Country:US
Practice Address - Phone:440-463-9255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-12
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.211025163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse