Doctor Name: | MS. RHONDA KNAPP-CLEVENGER |
NPI Number: | 1265601074 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN BC PNP |
License Number: | 116983 |
Business Practice Address: | 1835 Barres St Strasburg, CO - 801368059 |
Business Phone Number: | 7209361242 |
Business Fax Number: | |
Mailing Address: | 1835 Barres St, STRASBURG |
State: | CO |
Postal Code: | 801368059 |
Phone Number: | 7209361242 |
Fax Number: | |
NPI Enumeration Date: | 02/26/2008 |
NPI Last Update Date: | 02/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 116983 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |