Provider Demographics
NPI:1457687105
Name:HULL, REBEKAH LYNN (RN)
Entity Type:Individual
Prefix:MRS
First Name:REBEKAH
Middle Name:LYNN
Last Name:HULL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:708 MONTREAL DR
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-5420
Mailing Address - Country:US
Mailing Address - Phone:405-350-7703
Mailing Address - Fax:
Practice Address - Street 1:708 MONTREAL DR
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-5420
Practice Address - Country:US
Practice Address - Phone:405-350-7703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-29
Last Update Date:2009-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK0086660163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse