Healthcare Provider Details

I. General information

NPI: 1164386801
Provider Name (Legal Business Name): RHONDA PLANT LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1209 STONEY BEACH ST
LAS VEGAS NV
89110-1591
US

IV. Provider business mailing address

1209 STONEY BEACH ST
LAS VEGAS NV
89110-1591
US

V. Phone/Fax

Practice location:
  • Phone: 702-502-7874
  • Fax:
Mailing address:
  • Phone: 702-502-7874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number869963
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: