Healthcare Provider Details

I. General information

NPI: 1649062282
Provider Name (Legal Business Name): RHONDA LEIGH HUVANE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2025
Last Update Date: 05/20/2025
Certification Date: 05/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 BLUE RAVINE RD
FOLSOM CA
95630-3403
US

IV. Provider business mailing address

4006 BORDERS DR
EL DORADO HILLS CA
95762-5414
US

V. Phone/Fax

Practice location:
  • Phone: 916-294-9040
  • Fax: 916-294-9078
Mailing address:
  • Phone: 916-220-2282
  • Fax: 916-294-9000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number529191
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: