| Doctor Name: | MR. REBECCA ANNE DEMUTH |
| NPI Number: | 1033342860 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 455745-1 |
| Business Practice Address: | 1835 Sumner Rd 1835 Sumner Road Darien Center, NY - 140409716 |
| Business Phone Number: | 7165609126 |
| Business Fax Number: | |
| Mailing Address: | Po Box 6, 1835 Sumner Road DARIEN CENTER |
| State: | NY |
| Postal Code: | 140400006 |
| Phone Number: | 7165609126 |
| Fax Number: | |
| NPI Enumeration Date: | 08/27/2009 |
| NPI Last Update Date: | 08/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | 455745-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |