Provider Demographics
NPI:1285834549
Name:DAILY, REBEKAH KAREN (RN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:REBEKAH
Middle Name:KAREN
Last Name:DAILY
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Gender:F
Credentials:RN, FNP-C
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Mailing Address - Street 1:10383 HIGHWAY 12
Mailing Address - Street 2:SUITE 116
Mailing Address - City:ORANGE
Mailing Address - State:TX
Mailing Address - Zip Code:77632-7415
Mailing Address - Country:US
Mailing Address - Phone:409-745-4130
Mailing Address - Fax:409-745-4187
Practice Address - Street 1:10383 HIGHWAY 12
Practice Address - Street 2:SUITE 116
Practice Address - City:ORANGE
Practice Address - State:TX
Practice Address - Zip Code:77632-7415
Practice Address - Country:US
Practice Address - Phone:409-745-4130
Practice Address - Fax:409-745-4187
Is Sole Proprietor?:No
Enumeration Date:2007-07-24
Last Update Date:2012-09-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX703391363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX300328701Medicaid
TX300328701Medicaid