Doctor Name: | MRS. REBBEKKAH C MARASCO |
NPI Number: | 1417096868 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 9190412 |
Business Practice Address: | 600 Macinnes Dr Houghton, MI - 499311144 |
Business Phone Number: | 9064831860 |
Business Fax Number: | 9064831270 |
Mailing Address: | 506 Campus Dr, HANCOCK |
State: | MI |
Postal Code: | 499301569 |
Phone Number: | 9064831060 |
Fax Number: | 9064831270 |
NPI Enumeration Date: | 02/05/2007 |
NPI Last Update Date: | 12/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 9190412 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |