Provider Demographics
NPI:1548859812
Name:ORR, RHONDA FAY (APRN)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:FAY
Last Name:ORR
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31357 WILDWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:AFTON
Mailing Address - State:OK
Mailing Address - Zip Code:74331-8528
Mailing Address - Country:US
Mailing Address - Phone:918-782-7463
Mailing Address - Fax:
Practice Address - Street 1:36488 S HIGHWAY 82
Practice Address - Street 2:
Practice Address - City:VINITA
Practice Address - State:OK
Practice Address - Zip Code:74301-7438
Practice Address - Country:US
Practice Address - Phone:918-782-1881
Practice Address - Fax:918-782-4266
Is Sole Proprietor?:No
Enumeration Date:2021-01-12
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK57541363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily