MEDICARE: MS. RHONDA LYNN NEAL RN.,BSN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	IR.949109-ENDS	OH

General Provider Information

NPI Number	:	1275865065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. RHONDA LYNN NEAL RN.,BSN

Provider Business Mailing Address
First Line	:	234 BARTOW DR
Second Line	:
City	:	BARBOURSVILLE
State	:	WV
Zip	:	25504-1126
Country	:	US
Telephone Number	:	304-416-0936
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 MAIN ST.
Second Line	:
City	:	CROWN CITY
State	:	OH
Zip	:	45623
Country	:	US
Telephone Number	:	304-751-7927
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2010
Last Update Date	:	02/04/2010

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