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NPI Code Detail

MEDICARE: REBECCA J CARDELL DNS, MN

MEDICARE: REBECCA J CARDELL DNS, MN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0808XPsychiatric/Mental Health Registered NurseAP30003333WA

General Provider Information

NPI Number : 1114009487
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA J CARDELL DNS, MN
Provider Business Mailing Address
First Line : 1175 CARONDELET DR
Second Line :
City : RICHLAND
State : WA
Zip : 99354-3300
Country : US
Telephone Number : 509-943-9104
Fax Number :
Provider Business Practice Location Address
First Line : 1175 CARONDELET DR
Second Line :
City : RICHLAND
State : WA
Zip : 99354-3300
Country : US
Telephone Number : 509-943-9104
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2006
Last Update Date : 07/08/2007

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Directions to “ REBECCA J CARDELL DNS, MN” Practice Location

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