Rhonda K Boldman

Individual provider Active NPI Ambulatory Care Registered Nurse · Copperas Cove, TX

NPI 1013676790 · NPPES record last updated Dec 10, 2021

Key facts

NPI
1013676790
Entity type
Individual (NPI type 1)
Primary specialty
Ambulatory Care Registered Nurse 163WP2201X
License
921638 (TX)
Practice address
458 Town SQ
Copperas Cove, TX 76522-2826
Phone
(254) 553-5801
NPI assigned
Dec 10, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
921638TXMDAmbulatory Care Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X 921638 TX Yes

Addresses

Primary practice location

458 Town SQ
Copperas Cove, TX 76522-2826

Mailing address

458 Town SQ
Copperas Cove, TX 76522-2826
Phone (254) 553-5801

Other providers in Copperas Cove, TX

All providers in Copperas Cove, TX · Ambulatory Care Registered Nurse in Texas

Sources for this page

Verify at the official NPI Registry.