Provider Demographics
NPI:1053924068
Name:SLINGHOFF, RHONDA BRADLEY (CRNP)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:BRADLEY
Last Name:SLINGHOFF
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 MEMORY LN
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2231
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-851-6969
Practice Address - Street 1:750 EDEN RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4712
Practice Address - Country:US
Practice Address - Phone:717-399-7381
Practice Address - Fax:717-391-7517
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP022342363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
14968299OtherCAQH
PARN266005LOtherSTATE LICENSE - RN
PA103823640Medicaid
PASP022342OtherSTATE LICENSE - CRNP
PASP022342OtherSTATE LICENSE - CRNP