MRS. RHONDA SUE KELLER (NPI# 1376525170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376525170 |
Entity Type | Individual |
Full Name | MRS. RHONDA SUE KELLER |
Credential | FNP |
Practice Address |
101 Oxbow Dr Alpena MI 49707-1448 |
Practice Telephone | 9893588100 |
Practice Fax Number | 9893544979 |
Mailing Telephone | 9893588100 |
Mailing Fax Number | 9893544979 |
Enumeration Date | 2005-11-17 |
Last Update Date | 2012-10-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704177958 | MI | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BCBSM | 500Z410370 | 01 |
MI | STATE LICENSE NUMBER | 4704177958 | 01 |
MI | 4975205 | 05 |
Street Address |
101 OXBOW DR |
City | ALPENA |
State | MI |
Zip Code | 49707-1448 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053969261 | Alisha Allen | Counselor | Charis Counseling Services of Northeast Michigan, Pllc, 311 N. 2nd Ave, Alpena, MI 49707 | 2019-08-30 |
1376015032 | Rachel Marie Vercnocke | Physical Therapist | Midmichigan Home Care, 1521 W. Chisholm Street, Alpena, MI 49707 | 2018-12-19 |
1245731405 | Alcona Citizens for Health, Inc. | Clinic/Center | 3036 French Rd, Alpena, MI 49707 | 2018-02-23 |
1750775417 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1251 M32w W. Washington Ave., Alpena, MI 49707 | 2015-03-20 |
1962895136 | Florencio Cusip Agustin IIi | Physical Therapist | 437 W. Washington Ave, Alpena, MI 49707 | 2015-03-12 |
1659762110 | James L Counsellor | Counselor | 115 N First Ave Ste 101, Alpena, MI 49707 | 2015-02-05 |
1093002099 | Geraldine Zachos Williams | Chiropractor | 525 S. State Ave, Alpena, MI 49707 | 2011-06-29 |
1023310224 | Steven A Machulis | Specialist/Technologist, Other | 225 Long Lake Ave, Alpena, MI 49707 | 2010-11-22 |
1578727335 | Allan Paul Frank | Internal Medicine | 2079 South State, Alpena, MI 49707 | 2008-07-10 |
1215116025 | Rong Lawson | Family Medicine | Alpena Medical Arts, PC, 211 Long Rapids Road, Alpena, MI 49707 | 2007-10-29 |
Find all providers in zip 49707 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104440064 | Mitelecare LLC | Nurse Practitioner | 7222 Smith Rd, Alpena, MI 49707-9519 | 2020-06-05 |
1730747668 | Tina M Szatkowski | Nurse Practitioner | 814 S Ninth Ave, Alpena, MI 49707-2937 | 2019-06-05 |
1902342736 | Anthony Pratt | Nurse Practitioner | 104 Fair Ave, Alpena, MI 49707-2716 | 2017-01-18 |
1568701746 | Susan K Weeks | Nurse Practitioner | 1691 M 32 W Ste 300, Alpena, MI 49707-8210 | 2013-02-07 |
1154416717 | Healthwise Medical Clinic Pllc | Nurse Practitioner | 101 Oxbow Drive, Healthwise Medical Clinic, Alpena, MI 49707 | 2006-10-03 |
1851340491 | Sidni Anna Tacia | Nurse Practitioner | 180 N State Ave, Alpena, MI 49707-2847 | 2006-05-10 |
1811992704 | Alpena Medical Arts PC | Nurse Practitioner | 211 Long Rapids Rd, Alpena, MI 49707-1315 | 2005-06-16 |
1497390777 | Anne Marceau | Nurse Practitioner | 1501 W Chisholm St, Alpena, MI 49707-1401 | 2019-11-11 |
1487295028 | Megan Buck | Nurse Practitioner | 1501 W Chisholm St, Alpena, MI 49707-1401 | 2019-10-04 |
1811450430 | Jeremy Zinke | Nurse Practitioner | 109 S 13th Ave, Alpena, MI 49707-1609 | 2019-04-10 |
Find all providers in ALPENA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.