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NPI Code Detail

MEDICARE: MRS. RHONDA M LEBBING RN, ANP-BC

MEDICARE: MRS. RHONDA M LEBBING RN, ANP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerRN115270MO

General Provider Information

NPI Number : 1174519177
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RHONDA M LEBBING RN, ANP-BC
Provider Business Mailing Address
First Line : 1008 S SPRING AVE FL 3
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63110-2520
Country : US
Telephone Number : 314-977-1794
Fax Number : 314-977-1802
Provider Business Practice Location Address
First Line : 1225 S GRAND BLVD FL 3
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63104-1016
Country : US
Telephone Number : 317-977-1807
Fax Number : 314-977-7613
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2005
Last Update Date : 02/23/2021

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Directions to “ MRS. RHONDA M LEBBING RN, ANP-BC” Practice Location

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