Healthcare Provider Details
I. General information
NPI: 1659374940
Provider Name (Legal Business Name): RHONDA L STRUNK APN-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/31/2005
Last Update Date: 11/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
640 W MOANA LN STE 2
RENO NV
89509-4857
US
IV. Provider business mailing address
3950 G.S. RICHARDS BLVD.
CARSON CITY NV
89703-8457
US
V. Phone/Fax
- Phone: 775-324-0699
- Fax: 775-323-6814
- Phone: 775-324-0699
- Fax: 775-323-6814
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 372500000X |
| Taxonomy | Chore Provider |
| License Number | 000633 |
| License Number State | NV |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | APN000633 |
| License Number State | NV |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: