MEDICARE: MRS. TEHILA F. RABHAN MSN, FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	635626	NY
2	363LF0000X	Family Nurse Practitioner	11000757	FL

General Provider Information

NPI Number	:	1235436692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TEHILA F. RABHAN MSN, FNP-BC

Provider Business Mailing Address
First Line	:	4341 SHERIDAN AVE
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3117
Country	:	US
Telephone Number	:	917-647-9123
Fax Number	:

Provider Business Practice Location Address
First Line	:	4341 SHERIDAN AVE
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3117
Country	:	US
Telephone Number	:	917-647-9123
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2011
Last Update Date	:	01/04/2019

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