Provider Demographics
NPI:1235436692
Name:RABHAN, TEHILA F (MSN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:TEHILA
Middle Name:F
Last Name:RABHAN
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:TEHILA
Other - Middle Name:
Other - Last Name:RABHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, BSN
Mailing Address - Street 1:4341 SHERIDAN AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-3117
Mailing Address - Country:US
Mailing Address - Phone:917-647-9123
Mailing Address - Fax:
Practice Address - Street 1:4341 SHERIDAN AVE
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-3117
Practice Address - Country:US
Practice Address - Phone:917-647-9123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-22
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY635626163W00000X
FL11000757363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse