Provider Demographics
NPI:1750669685
Name:DECHON, REBEKAH L (RN, NP-C)
Entity Type:Individual
Prefix:
First Name:REBEKAH
Middle Name:L
Last Name:DECHON
Suffix:
Gender:F
Credentials:RN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15652 AVENUE OF THE ARBORS
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-8779
Mailing Address - Country:US
Mailing Address - Phone:361-949-7701
Mailing Address - Fax:
Practice Address - Street 1:3840 STATE ROAD 436
Practice Address - Street 2:SUITE 1000
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-6197
Practice Address - Country:US
Practice Address - Phone:407-478-3202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-26
Last Update Date:2013-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX627422363LF0000X
FLARNP 9353370363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily