Healthcare Provider Details

I. General information

NPI: 1528011145
Provider Name (Legal Business Name): REBECCA ZAER RAFIE F.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBECCA ZAER RAFIE APRN-FNP

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 01/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12330 METCALF AVE SUITE 400
OVERLAND PARK KS
66213-1324
US

IV. Provider business mailing address

819 W 122ND TER
KANSAS CITY MO
64145-1123
US

V. Phone/Fax

Practice location:
  • Phone: 210-473-5350
  • Fax:
Mailing address:
  • Phone: 210-473-5350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN519838
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number76753
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: