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Individual

MRS. BARBARA L RONDOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1302 MINNICH RD, STE. 4, NEW HAVEN, IN 46774-2052
(260) 425-2614
(260) 425-2616
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 479-3516
(260) 479-3520

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001047A
IN
363LF0000X
Family Nurse Practitioner
28096414A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200996730
IN
Enumeration date
06/15/2007
Last updated
10/14/2020
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