Healthcare Provider Details

I. General information

NPI: 1275338436
Provider Name (Legal Business Name): REBECCA SUZANNE DURLING NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2025
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8701 CUYAMACA ST
SANTEE CA
92071-4253
US

IV. Provider business mailing address

1157 HAMLET DR
EL CAJON CA
92021-3807
US

V. Phone/Fax

Practice location:
  • Phone: 301-466-6723
  • Fax:
Mailing address:
  • Phone: 301-466-6723
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number95033982
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: