Healthcare Provider Details

I. General information

NPI: 1497671739
Provider Name (Legal Business Name): REBA EATON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 DOVE AVE
SALEM MA
01970-2944
US

IV. Provider business mailing address

53 ASHLAND ST
NEWBURYPORT MA
01950-1931
US

V. Phone/Fax

Practice location:
  • Phone: 978-354-4557
  • Fax:
Mailing address:
  • Phone: 978-741-1200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN276752
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: