# RHONDA JOAN HETTINGER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1407844996
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 71000764A | IN | Yes |
| 363LF0000X | Family Nurse Practitioner | 3192P | KY | — |
| 363LF0000X | Family Nurse Practitioner | 71000764A | IN | — |

## Other

- **Enumeration date:** 10/10/2005
- **Last updated:** 10/20/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000675091 | ANTHEM | IN |
| 05 | — | 200265080 | — | IN |
| 05 | — | 78004298 | — | KY |