Provider Demographics
NPI:1215389770
Name:REHBEIN, CRYSTAL (APRN, CNP)
Entity Type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:
Last Name:REHBEIN
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 DELLWOOD ST S
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MN
Mailing Address - Zip Code:55008-1923
Mailing Address - Country:US
Mailing Address - Phone:763-688-8700
Mailing Address - Fax:763-688-7870
Practice Address - Street 1:701 DELLWOOD ST S
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MN
Practice Address - Zip Code:55008-1923
Practice Address - Country:US
Practice Address - Phone:763-688-8700
Practice Address - Fax:763-688-7870
Is Sole Proprietor?:No
Enumeration Date:2016-07-08
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4609363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner