Individual
MS. RHONDA SHIRCLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
204 N MAIN ST, ELIZABETHTOWN, KY 42701-1417
(270) 360-1222
(270) 360-0333
Mailing address
204 N MAIN ST, ELIZABETHTOWN, KY 42701-1417
(270) 360-1222
(270) 360-0333
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1027793
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000075252
BLUE CROSS/BLUE SHIELD
KY
01
—
204286000
MAGELLAN BEHAVIORAL HEALT
KY
Enumeration date
09/13/2006
Last updated
07/08/2007
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