Individual
RONDA GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2605 N LEBANON ST, LEBANON, IN 46052-1476
(765) 485-8000
(765) 485-8239
Mailing address
2605 N LEBANON ST, LEBANON, IN 46052-1476
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28160100A
IN
208M00000X
Hospitalist Physician
Primary
71002900A
IN
363L00000X
Nurse Practitioner
71002900A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0058886
—
OH
05
—
201046470
—
IN
Enumeration date
03/17/2009
Last updated
10/10/2023
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