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NPI Code Detail

MEDICARE: SARAH REBEL NPP

MEDICARE: SARAH REBEL NPP
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerRN2388066MA
2363LP0808XPsychiatric/Mental Health Nurse Practitioner403520NY
3163WP0808XPsychiatric/Mental Health Registered NurseRN2388066MA
4163WP0808XPsychiatric/Mental Health Registered Nurse743920NY

General Provider Information

NPI Number : 1922663244
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH REBEL NPP
Provider Business Mailing Address
First Line : 190 OLD DERBY ST STE 211
Second Line :
City : HINGHAM
State : MA
Zip : 02043-4066
Country : US
Telephone Number : 781-214-1844
Fax Number : 781-350-9572
Provider Business Practice Location Address
First Line : 135 WEBSTER ST
Second Line :
City : HANOVER
State : MA
Zip : 02339-1200
Country : US
Telephone Number : 781-429-7755
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2019
Last Update Date : 05/12/2026

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Directions to “ SARAH REBEL NPP” Practice Location

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