Provider Demographics
NPI:1053558353
Name:WEINHOLD, RHONDA FRAZIER (FNP)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:FRAZIER
Last Name:WEINHOLD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 BUSINESS WAY
Mailing Address - Street 2:
Mailing Address - City:STAUNTON
Mailing Address - State:VA
Mailing Address - Zip Code:24401-4593
Mailing Address - Country:US
Mailing Address - Phone:540-886-5777
Mailing Address - Fax:540-886-5776
Practice Address - Street 1:102 BUSINESS WAY
Practice Address - Street 2:
Practice Address - City:STAUNTON
Practice Address - State:VA
Practice Address - Zip Code:24401-4593
Practice Address - Country:US
Practice Address - Phone:540-886-5777
Practice Address - Fax:540-886-5776
Is Sole Proprietor?:No
Enumeration Date:2009-01-08
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024171627363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003106801BMedicaid