Provider Demographics
NPI:1871673970
Name:REHBERG, DEBORAH SUE (ARNP (C) FNP)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:SUE
Last Name:REHBERG
Suffix:
Gender:F
Credentials:ARNP (C) FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1560 N WENATCHEE AVE
Mailing Address - Street 2:PO BOX 1647
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-1157
Mailing Address - Country:US
Mailing Address - Phone:509-662-6448
Mailing Address - Fax:509-662-6541
Practice Address - Street 1:1560 N WENATCHEE AVE
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-1157
Practice Address - Country:US
Practice Address - Phone:509-662-6448
Practice Address - Fax:509-662-6541
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30005778363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9636960Medicaid
WA9636960Medicaid
WA9636960Medicaid
WAG8801882Medicare ID - Type UnspecifiedFED