Provider Demographics
NPI:1760820393
Name:BRABEC, REBECCA NOELLE (APRN)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:NOELLE
Last Name:BRABEC
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12200 W 106TH ST
Mailing Address - Street 2:SUITE 120
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66215-2305
Mailing Address - Country:US
Mailing Address - Phone:913-894-2323
Mailing Address - Fax:913-894-0841
Practice Address - Street 1:12200 W 106TH ST
Practice Address - Street 2:SUITE 120
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66215-2305
Practice Address - Country:US
Practice Address - Phone:913-894-2323
Practice Address - Fax:913-894-0841
Is Sole Proprietor?:No
Enumeration Date:2013-06-05
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-75255-062363LW0102X
KS14113084062163WR1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163WR1000XNursing Service ProvidersRegistered NurseReproductive Endocrinology/Infertility
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSNONEOtherNONE