Provider Demographics
NPI:1861608796
Name:OUGHIN, RONA S
Entity type:Individual
Prefix:
First Name:RONA
Middle Name:S
Last Name:OUGHIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8357 WINDMILL FARMS DR
Mailing Address - Street 2:
Mailing Address - City:COTATI
Mailing Address - State:CA
Mailing Address - Zip Code:94931-4579
Mailing Address - Country:US
Mailing Address - Phone:707-664-1196
Mailing Address - Fax:707-664-1196
Practice Address - Street 1:1370 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:ROHNERT PARK
Practice Address - State:CA
Practice Address - Zip Code:94928-2934
Practice Address - Country:US
Practice Address - Phone:707-584-3528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN361861163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse