Provider Demographics
NPI:1437321627
Name:HANKEL, REBECCA A (RD, LDN)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:A
Last Name:HANKEL
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71201 VILLAGE DES BOIS
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-6929
Mailing Address - Country:US
Mailing Address - Phone:985-892-5620
Mailing Address - Fax:
Practice Address - Street 1:400 MEMPHIS ST
Practice Address - Street 2:
Practice Address - City:BOGALUSA
Practice Address - State:LA
Practice Address - Zip Code:70427-3862
Practice Address - Country:US
Practice Address - Phone:985-730-6897
Practice Address - Fax:985-730-6898
Is Sole Proprietor?:No
Enumeration Date:2008-03-27
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1311133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered