Rhonda M Bacilieri

Individual provider Active NPI Licensed Vocational Nurse · Kerrville, TX

NPI 1750171781 · NPPES record last updated May 12, 2025

Key facts

NPI
1750171781
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
1080086 (TX)
Practice address
132 Crockett Dr
Kerrville, TX 78028-8119
Phone
(830) 370-0789
NPI assigned
May 12, 2025
Sex
Female
Sole proprietor
Yes

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
1080086TXMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 1080086 TX Yes

Addresses

Primary practice location

132 Crockett Dr
Kerrville, TX 78028-8119

Mailing address

132 Crockett Dr
Kerrville, TX 78028-8119
Phone (830) 370-0789

Other providers in Kerrville, TX

All providers in Kerrville, TX · Licensed Vocational Nurse in Texas

Sources for this page

Verify at the official NPI Registry.