Provider Demographics
NPI:1932228541
Name:RONDON, NANCY MIQUELINA (BA)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:MIQUELINA
Last Name:RONDON
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4023 BRAEMERE DR
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-0680
Mailing Address - Country:US
Mailing Address - Phone:352-688-7258
Mailing Address - Fax:
Practice Address - Street 1:801 6TH ST S
Practice Address - Street 2:DEPT 7470
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4816
Practice Address - Country:US
Practice Address - Phone:727-767-8216
Practice Address - Fax:727-767-4715
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker