Provider Demographics
NPI:1700025749
Name:RABEL, MARIE LINDA (FNP)
Entity Type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:LINDA
Last Name:RABEL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:MARIE
Other - Middle Name:LINDA
Other - Last Name:ANDRAL COLON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:N/A
Mailing Address - Street 1:104 BROOK WOODE AVE
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-4717
Mailing Address - Country:US
Mailing Address - Phone:561-282-8185
Mailing Address - Fax:
Practice Address - Street 1:1801 PENN ST
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-2694
Practice Address - Country:US
Practice Address - Phone:561-282-8185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-16
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3389702363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000418100Medicaid
FLDS618YMedicare PIN