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NPI Code Detail

MEDICARE: REBECCA NEBEL

MEDICARE: REBECCA NEBEL
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 PractitionerAP60428478WA

General Provider Information

NPI Number : 1982022356
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA NEBEL
Provider Business Mailing Address
First Line : PO BOX 25608
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84125-0608
Country : US
Telephone Number : 206-320-4476
Fax Number : 206-568-7043
Provider Business Practice Location Address
First Line : 3236 78TH AVE SE STE 200
Second Line :
City : MERCER ISLAND
State : WA
Zip : 98040-3500
Country : US
Telephone Number : 206-275-5060
Fax Number : 206-275-5061
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2014
Last Update Date : 02/12/2026

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Directions to “ REBECCA NEBEL ” Practice Location

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