Healthcare Provider Details

I. General information

NPI: 1144318379
Provider Name (Legal Business Name): RHONDA RACHEAL AUNE RNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 06/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1233 E 2ND ST
CASPER WY
82601-2926
US

IV. Provider business mailing address

PO BOX 1566
CASPER WY
82602-1566
US

V. Phone/Fax

Practice location:
  • Phone: 307-577-2123
  • Fax:
Mailing address:
  • Phone: 307-265-0323
  • Fax: 307-235-0323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number16577
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: