Individual
RHONDA LEE UTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
720 KENYON ROAD, BERRYHILL CENTER FOR MENTAL HEALTH, FORT DODGE, IA 50501
(515) 955-7171
(515) 573-7898
Mailing address
720 KENYON ROAD, BERRYHILL CENTER FOR MENTAL HEALTH, FORT DODGE, IA 50501
(515) 955-7171
(515) 573-7898
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
087774
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159608
—
IA
01
—
07466
WELLMARK BC/BS GROUP NUMBER
IA
Enumeration date
07/15/2008
Last updated
07/15/2008
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