Healthcare Provider Details
I. General information
NPI: 1528575602
Provider Name (Legal Business Name): REBECCA JOE RIMKA APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/10/2018
Last Update Date: 10/31/2024
Certification Date: 10/31/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
41715 WINCHESTER RD STE 101
TEMECULA CA
92590-4853
US
IV. Provider business mailing address
41715 WINCHESTER RD STE 101
TEMECULA CA
92590-4853
US
V. Phone/Fax
- Phone: 951-308-4451
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | A005454 |
| License Number State | AR |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 95010849 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: