Provider Demographics
NPI:1932164738
Name:KAMAHELE, RONDA LEA (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:RONDA
Middle Name:LEA
Last Name:KAMAHELE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 CRESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21921-7440
Mailing Address - Country:US
Mailing Address - Phone:410-620-2238
Mailing Address - Fax:410-642-1872
Practice Address - Street 1:BUILDING 24A
Practice Address - Street 2:VAMHCS PERRY POINT DIVISION
Practice Address - City:PERRY POINT
Practice Address - State:MD
Practice Address - Zip Code:21902-1100
Practice Address - Country:US
Practice Address - Phone:410-642-2411
Practice Address - Fax:410-642-1872
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR091867363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDR091867OtherRN LICENSE