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Individual

MS. RHONDA BURD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, ANP

Contact information

Practice address
150 RIVER NORTH BLVD, STEPHENVILLE, TX 76401-1803
(254) 968-6051
(254) 968-4950
Mailing address
150 RIVER NORTH BLVD, STEPHENVILLE, TX 76401-1803
(254) 968-6051
(254) 968-4950

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
456297
TX
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
456297
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
109595203
MEDICAID FAMILY PLANNING
TX
05
109595204
TX
Enumeration date
06/16/2005
Last updated
11/02/2015
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