Individual
RONDELLE LONGENECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
1991 STATE HILL RD, WYOMISSING, PA 19610-1648
(484) 628-4270
(484) 628-4261
Mailing address
PO BOX 13579, READING, PA 19612-3579
(484) 628-0796
(484) 334-7026
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP009795
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102201860
—
PA
Enumeration date
09/24/2008
Last updated
06/18/2015
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