Provider Demographics
NPI:1780283168
Name:RHIMA, BRENDA RIENRU (NP)
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:RIENRU
Last Name:RHIMA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:BRENDA
Other - Middle Name:RIENRU
Other - Last Name:BIRHIRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24657 ROCKSTON DR
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92883-1614
Mailing Address - Country:US
Mailing Address - Phone:713-575-7724
Mailing Address - Fax:
Practice Address - Street 1:24657 ROCKSTON DR
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92883-1614
Practice Address - Country:US
Practice Address - Phone:713-575-7724
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-18
Last Update Date:2020-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95012344363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care