Provider Demographics
NPI:1487848198
Name:GOODMAN, RHONDA LYNN (PHD, ARNP, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:LYNN
Last Name:GOODMAN
Suffix:
Gender:F
Credentials:PHD, ARNP, FNP-BC
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:LYNN
Other - Last Name:LESNIAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, ARNP, FNP-BC
Mailing Address - Street 1:8 CADILLAC DRIVE
Mailing Address - Street 2:THE LITTLE CLINIC
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027
Mailing Address - Country:US
Mailing Address - Phone:877-852-2677
Mailing Address - Fax:
Practice Address - Street 1:2837 BANYAN BOULEVARD CIR NW
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6363
Practice Address - Country:US
Practice Address - Phone:561-289-5821
Practice Address - Fax:561-994-9896
Is Sole Proprietor?:No
Enumeration Date:2007-09-06
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP849322363LF0000X
FL849322-FL363L00000X
TX233098-TX363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily