MRS. RHONDA VEDDER DESSERT NURSE PRACITITIONER NPI 1649763665

NPI Information

NPI: 1649763665
Provider Name: MRS. RHONDA VEDDER DESSERT, NURSE PRACITITIONER
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1550 N IMPERIAL AVE STE 2
EL CENTRO, CA
ZIP 92243
Phone: (760) 353-5888
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MRS. Rhonda Vedder Dessert, NURSE PRACITITIONER is a family nurse practitioner in El Centro, CA. MRS. Rhonda Vedder Dessert, NURSE PRACITITIONER NPI is 1649763665. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1550 N IMPERIAL AVE STE 2
EL CENTRO, CA
ZIP 92243-304
Phone: (760) 353-5888

The NPI 1649763665 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/13/2018 and was last updated on 6/13/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	95004946	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	95004946	OTHER	CALIFORNIA	MEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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