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Individual

RHONDALYNN J SEARS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1101 GLENDALE BLVD, SUITE 101, VALPARAISO, IN 46383-3767
(219) 462-0555
Mailing address
1101 GLENDALE BLVD, SUITE 101, VALPARAISO, IN 46383-3767
(219) 462-0555

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28110137A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
71000484A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000320720
ANTHEM
IN
01
000000721670
ANTHEM TRADITIONAL
IN
05
200190160
IN
Enumeration date
07/18/2006
Last updated
05/09/2013
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