Provider Demographics
NPI:1134497464
Name:NATION, REBEKAH DANIELLE (APRN, PMHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:REBEKAH
Middle Name:DANIELLE
Last Name:NATION
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1404 N MAIN ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83642-2799
Mailing Address - Country:US
Mailing Address - Phone:208-888-6264
Mailing Address - Fax:208-906-2363
Practice Address - Street 1:1404 N MAIN ST
Practice Address - Street 2:SUITE 101
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-2799
Practice Address - Country:US
Practice Address - Phone:208-888-6264
Practice Address - Fax:208-906-2363
Is Sole Proprietor?:No
Enumeration Date:2011-12-01
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN197721363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health