Individual
RHONDA MALINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
401 TAKOMA AVE, GREENEVILLE, TN 37743-4647
(423) 636-2425
(423) 798-1266
Mailing address
PO BOX 37087, BALTIMORE, MD 21297-3087
(828) 687-5616
(828) 650-8076
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
129736
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39034721
—
TN
Enumeration date
10/24/2005
Last updated
06/15/2015
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