Provider Demographics
NPI:1760813604
Name:KUHNMUENCH, REBECCA SUE (RN)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:SUE
Last Name:KUHNMUENCH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:SUE
Other - Last Name:LAKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4004 AGUILA ST
Mailing Address - Street 2:UNIT A
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-4145
Mailing Address - Country:US
Mailing Address - Phone:715-581-2208
Mailing Address - Fax:
Practice Address - Street 1:630 ROOSEVELT
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92620-3621
Practice Address - Country:US
Practice Address - Phone:949-707-5641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-03
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA818605163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse