Healthcare Provider Details

I. General information

NPI: 1740440825
Provider Name (Legal Business Name): RHONDA GAIL HAUKE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2008
Last Update Date: 06/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8814 US HIGHWAY 50
HILLSBORO OH
45133-8433
US

IV. Provider business mailing address

8814 US HIGHWAY 50
HILLSBORO OH
45133-8433
US

V. Phone/Fax

Practice location:
  • Phone: 937-393-6964
  • Fax:
Mailing address:
  • Phone: 937-393-6964
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN337972
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: