Basic Information
| Provider Information | |||||||||
| NPI: | 1790904696 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MALONEY | ||||||||
| FirstName: | RHONDA | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | MSN, NP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 610 JONES FERRY RD | ||||||||
| Address2: | SUITE 102 | ||||||||
| City: | CARRBORO | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275106113 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199291747 | ||||||||
| FaxNumber: | 9199335168 | ||||||||
| Practice Location | |||||||||
| Address1: | 610 JONES FERRY RD | ||||||||
| Address2: | SUITE 102 | ||||||||
| City: | CARRBORO | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275106113 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199291747 | ||||||||
| FaxNumber: | 9199335168 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/25/2007 | ||||||||
| LastUpdateDate: | 09/23/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP2300X | 5007430 | NC | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Primary Care |
ID Information
| ID | Type | State | Issuer | Description | 617570 | 01 | TX | RN LICENSE NUMBER | OTHER | 5007430 | 01 | NC | NC LICENSE | OTHER | F0307021 | 01 | TX | FAMILY NURSE PRACTITIONER | OTHER |