Doctor Name: | RHONDA DIFANI |
NPI Number: | 1023352333 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | R085038 |
Business Practice Address: | 1885 Highway 62 W Pocahontas, AR - 724553639 |
Business Phone Number: | 8702480660 |
Business Fax Number: | 8702480321 |
Mailing Address: | 1885 Highway 62 W, POCAHONTAS |
State: | AR |
Postal Code: | 724553639 |
Phone Number: | 8702480660 |
Fax Number: | 8702480321 |
NPI Enumeration Date: | 11/27/2012 |
NPI Last Update Date: | 11/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0807X |
License Number: | R085038 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health, Child & Adolescent |
Taxonomy Definition: |