Provider Demographics
NPI:1730343799
Name:KEYES, RHONDA JANE (APRN)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:JANE
Last Name:KEYES
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 1:4704 N 80 AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68134-3224
Mailing Address - Country:US
Mailing Address - Phone:402-305-5815
Mailing Address - Fax:
Practice Address - Street 1:987440 NEBRASKA MEDICAL CENTER
Practice Address - Street 2:NEONATAL INTENSIVE CARE
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-7440
Practice Address - Country:US
Practice Address - Phone:402-559-9815
Practice Address - Fax:402-559-8685
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-17
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE110956363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal