Provider Demographics
NPI:1942340146
Name:GUEST, RHEBA H (RN)
Entity Type:Individual
Prefix:MS
First Name:RHEBA
Middle Name:H
Last Name:GUEST
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8106 COLLINGWOOD LN
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-3442
Mailing Address - Country:US
Mailing Address - Phone:678-507-4787
Mailing Address - Fax:866-748-0822
Practice Address - Street 1:8106 COLLINGWOOD LN
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-3442
Practice Address - Country:US
Practice Address - Phone:678-507-4787
Practice Address - Fax:866-748-0822
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN3011052163W00000X
GARN176930163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL310724800Medicaid