Provider Demographics
NPI:1053137455
Name:SCIFRES, RHOMONDA (FNP-C)
Entity type:Individual
Prefix:
First Name:RHOMONDA
Middle Name:
Last Name:SCIFRES
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:MONDEE
Other - Middle Name:
Other - Last Name:SCIFRES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP-C
Mailing Address - Street 1:6413 E COUNTY ROAD 400 S
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:IN
Mailing Address - Zip Code:47274-9234
Mailing Address - Country:US
Mailing Address - Phone:812-274-0713
Mailing Address - Fax:
Practice Address - Street 1:220 CLIFTY DR STE J
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:IN
Practice Address - Zip Code:47250-1669
Practice Address - Country:US
Practice Address - Phone:812-274-0713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28229949A363L00000X, 363LP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care