MEDICARE: RHONDA RENEE DAHER FAMILY NURSE PRACTIO

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	363LF0000X	Family Nurse Practitioner	95033962	CA
2	163W00000X	Registered Nurse	829190	CA

General Provider Information

NPI Number	:	1831861400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RHONDA RENEE DAHER FAMILY NURSE PRACTIO

Provider Business Mailing Address
First Line	:	4805 MAIN ST
Second Line	:
City	:	YORBA LINDA
State	:	CA
Zip	:	92886
Country	:	US
Telephone Number	:	714-779-5700
Fax Number	:

Provider Business Practice Location Address
First Line	:	4805 MAIN ST
Second Line	:	YORBA LINDA
City	:	YORBA LINDA
State	:	CA
Zip	:	92886
Country	:	US
Telephone Number	:	714-779-5700
Fax Number	:

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

Provider Enumeration Date	:	10/01/2021
Last Update Date	:	05/21/2026

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