Provider Demographics
NPI:1871973974
Name:RHYNES-PARTLOW, LISA S (RN)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:S
Last Name:RHYNES-PARTLOW
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 KING ST
Mailing Address - Street 2:
Mailing Address - City:COCOA
Mailing Address - State:FL
Mailing Address - Zip Code:32926-5120
Mailing Address - Country:US
Mailing Address - Phone:407-963-4041
Mailing Address - Fax:321-338-2985
Practice Address - Street 1:1550 KING ST
Practice Address - Street 2:
Practice Address - City:COCOA
Practice Address - State:FL
Practice Address - Zip Code:32926-5120
Practice Address - Country:US
Practice Address - Phone:407-963-4041
Practice Address - Fax:321-338-2985
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-03
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN2220482163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse