Healthcare Provider Details

I. General information

NPI: 1609783885
Provider Name (Legal Business Name): REBECCA IRENE HEVEL DNP, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2218 ROLLING GREEN TRL
NORTH MANKATO MN
56003-2955
US

IV. Provider business mailing address

2218 ROLLING GREEN TRL
NORTH MANKATO MN
56003-2955
US

V. Phone/Fax

Practice location:
  • Phone: 612-709-4780
  • Fax:
Mailing address:
  • Phone: 612-709-4780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number14629
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: