Individual
MS. RHONDA MARIE PROVOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10 WOODLAND RD, SAINT HELENA, CA 94574
(707) 963-3611
(707) 887-0320
Mailing address
7050 GIUSTI RD, FORESTVILLE, CA 95436-9637
(707) 478-9798
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA170
CA
367500000X
Certified Registered Nurse Anesthetist
RN103162
MA
367500000X
Certified Registered Nurse Anesthetist
RN305247
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q14451
—
CA
Enumeration date
12/14/2006
Last updated
08/17/2018
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