Provider Demographics
NPI:1326007683
Name:REDDEL, REBEKAH TURNER (ARNP)
Entity Type:Individual
Prefix:
First Name:REBEKAH
Middle Name:TURNER
Last Name:REDDEL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 ROBIN HOOD DR
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-4021
Mailing Address - Country:US
Mailing Address - Phone:603-930-6662
Mailing Address - Fax:603-882-0360
Practice Address - Street 1:172 ROUTE 101
Practice Address - Street 2:UNIT 26
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-5416
Practice Address - Country:US
Practice Address - Phone:603-930-6662
Practice Address - Fax:603-882-0360
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH023022-23-08363LP0808X
NH023022-23-04363LW0102X, 363LX0001X
NH023022-23363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH4004795Y0NH02OtherANTHEM BCBS
NH043775640OtherPHCS
NH71061200OtherMAGELLAN BEHAVIORAL HEALT
NH043775640OtherPACIFICARE BEHAVIORAL HEA
NH11378324OtherCAQH
NH2179171OtherCIGNA BEHAVIORAL HEALTH
MANP0203OtherBLUE CROSS BLUE SHIELD
NH043775640OtherCIGNA HEALTHCARE
NH043775640OtherHCVM/FIRST HEALTH
NH30005503Medicaid
NH146392OtherHEALTHSOURCE
NHS32339OtherHARVARD PILGRIM
NH501882OtherVALUE OPTIONS
NH043775640OtherPACIFICARE BEHAVIORAL HEA
NH71061200OtherMAGELLAN BEHAVIORAL HEALT
NHS32339Medicare UPIN