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NPI Code Detail

MEDICARE: REBEKAH HASSLER CNM, FNP

MEDICARE:   REBEKAH  HASSLER  CNM, FNP
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
1363LF0000XFamily Nurse Practitioner121145MO
2367A00000XAdvanced Practice Midwife121145MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598853699
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBEKAH HASSLER CNM, FNP
Provider Business Mailing Address
First Line : 1612 HELEN ST
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63106-3001
Country : US
Telephone Number : 314-482-9565
Fax Number : 314-814-8542
Provider Business Practice Location Address
First Line : 3930 S BROADWAY
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63118-4626
Country : US
Telephone Number : 314-898-1999
Fax Number : 314-814-8542
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2006
Last Update Date : 03/27/2013

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Directions to “ REBEKAH HASSLER CNM, FNP” Practice Location

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