Provider Demographics
NPI:1609475508
Name:FURBEE, REBEKAH DAWN
Entity Type:Individual
Prefix:
First Name:REBEKAH
Middle Name:DAWN
Last Name:FURBEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BECKY
Other - Middle Name:D
Other - Last Name:FURBEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NICK NAME
Mailing Address - Street 1:1284 TOMS RUN LN
Mailing Address - Street 2:
Mailing Address - City:MOUNDSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:26041-2714
Mailing Address - Country:US
Mailing Address - Phone:304-551-2290
Mailing Address - Fax:
Practice Address - Street 1:1284 TOMS RUN LN
Practice Address - Street 2:
Practice Address - City:MOUNDSVILLE
Practice Address - State:WV
Practice Address - Zip Code:26041-2714
Practice Address - Country:US
Practice Address - Phone:304-845-2511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant