Healthcare Provider Details

I. General information

NPI: 1942575063
Provider Name (Legal Business Name): REBEKAH LOUISE TOURIAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBEKAH MARSHALL APRN

II. Dates (important events)

Enumeration Date: 03/22/2012
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1613 N MILLS AVE
ORLANDO FL
32803-1849
US

IV. Provider business mailing address

1613 N MILLS AVE
ORLANDO FL
32803-1849
US

V. Phone/Fax

Practice location:
  • Phone: 407-894-4474
  • Fax: 407-894-7136
Mailing address:
  • Phone: 407-894-4474
  • Fax: 407-894-7136

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN9225930
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: