Provider Demographics
NPI:1053989129
Name:MCCRORY, RHONDA LEE (RN)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:LEE
Last Name:MCCRORY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 CAMPUS DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47025-1387
Mailing Address - Country:US
Mailing Address - Phone:812-537-5700
Mailing Address - Fax:812-537-5701
Practice Address - Street 1:181 CAMPUS DR
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:IN
Practice Address - Zip Code:47025-1387
Practice Address - Country:US
Practice Address - Phone:812-537-5700
Practice Address - Fax:812-537-5701
Is Sole Proprietor?:No
Enumeration Date:2021-06-15
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28199180A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse