Provider Demographics
NPI:1881017952
Name:BLOCK, REBECCA ESTES (ARNP)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:ESTES
Last Name:BLOCK
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2699
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32513-2699
Mailing Address - Country:US
Mailing Address - Phone:850-267-2961
Mailing Address - Fax:850-622-5634
Practice Address - Street 1:27 MACK BAYOU LOOP
Practice Address - Street 2:SUITE 2000
Practice Address - City:SANTA ROSA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32459-2613
Practice Address - Country:US
Practice Address - Phone:850-267-2961
Practice Address - Fax:850-622-5634
Is Sole Proprietor?:No
Enumeration Date:2014-01-27
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9303169363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily