Healthcare Provider Details

I. General information

NPI: 1326156944
Provider Name (Legal Business Name): RHONDA ANNETTE MCNEELY CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 09/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2209 S STERLING ST SUITE 400
MORGANTON NC
28655-4092
US

IV. Provider business mailing address

2209 S STERLING ST SUITE 400
MORGANTON NC
28655-4091
US

V. Phone/Fax

Practice location:
  • Phone: 828-580-4661
  • Fax: 828-580-4698
Mailing address:
  • Phone: 828-580-4661
  • Fax: 828-580-4698

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number121106
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number264
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: