Doctor Name: | MISS ALISHA LAUREN RABHAN |
NPI Number: | 1578708012 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | R162285 |
Business Practice Address: | 605 Global Way Suite 119 Linthicum, MD - 210902222 |
Business Phone Number: | 4107897337 |
Business Fax Number: | 4107890425 |
Mailing Address: | Po Box 9058, BELFAST |
State: | ME |
Postal Code: | 049159058 |
Phone Number: | 4107890304 |
Fax Number: | 4107890425 |
NPI Enumeration Date: | 12/12/2008 |
NPI Last Update Date: | 10/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | R162285 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |