Hendricks, Rhonda Renea

Hendricks, Rhonda Renea is an individual health care provider with primary practice located at 708 Del Prado Blvd S Ste 6 , Cape Coral FL 33990-2661. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Hendricks, Rhonda Renea can be contacted via phone (239) 424-2755.

Contact Information

Primary practice address
708 Del Prado Blvd S Ste 6 Cape Coral FL 33990-2661
Phone: (239) 424-2755
Fax: (239) 424-2756
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical 364SM0705X APRN9169032 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9169032 Florida

Profile Details

NPI number 1720403074
LBN Legal business name Hendricks, Rhonda Renea
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2014
Last updated Mar 31st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720403074 NPPES
Florida MEDICAID 010784900

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