Doctor Name: | RHONDA GAETANO |
NPI Number: | 1033582465 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | R 132881-7 |
Business Practice Address: | 1529 140th Ln Nw Andover, MN - 553047617 |
Business Phone Number: | 7634983123 |
Business Fax Number: | |
Mailing Address: | 1529 140th Ln Nw, ANDOVER |
State: | MN |
Postal Code: | 553047617 |
Phone Number: | 7634983123 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2015 |
NPI Last Update Date: | 11/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC2100X |
License Number: | R 132881-7 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Continence Care |
Taxonomy Definition: |