Provider Demographics
NPI:1518170430
Name:WEHRBEIN, REBECCA MARIE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:MARIE
Last Name:WEHRBEIN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7261 MERCY RD
Mailing Address - Street 2:SUITE 4800
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-2311
Mailing Address - Country:US
Mailing Address - Phone:402-827-4915
Mailing Address - Fax:
Practice Address - Street 1:11109 S 84TH ST
Practice Address - Street 2:SUITE 4800
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-4123
Practice Address - Country:US
Practice Address - Phone:402-827-4915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE877363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE877OtherNE PHYSICIAN AST. LICENSE