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NPI Code Detail

MEDICARE: RHONDA KAYE DONNELLY APRN

MEDICARE: RHONDA KAYE DONNELLY APRN
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
1363L00000XNurse Practitioner11003315FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619581659
Entity Type Code : Individual
Provider Name (Legal Business Name) : RHONDA KAYE DONNELLY APRN
Provider Business Mailing Address
First Line : 2917 BROOKFIELD DR
Second Line :
City : LARGO
State : FL
Zip : 33771-1407
Country : US
Telephone Number : 757-619-6228
Fax Number :
Provider Business Practice Location Address
First Line : 3010 E 138TH AVE STE 12
Second Line :
City : TAMPA
State : FL
Zip : 33613-3999
Country : US
Telephone Number : 813-975-2800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2020
Last Update Date : 08/26/2021

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Directions to “ RHONDA KAYE DONNELLY APRN” Practice Location

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