Provider Demographics
NPI:1942634985
Name:REBEKAH TURNER REDDEL APRN, LLC
Entity Type:Organization
Organization Name:REBEKAH TURNER REDDEL APRN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:REBEKAH
Authorized Official - Middle Name:TURNER
Authorized Official - Last Name:REDDEL
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:603-930-6662
Mailing Address - Street 1:18 ROBIN HOOD DR
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-4021
Mailing Address - Country:US
Mailing Address - Phone:603-930-6662
Mailing Address - Fax:
Practice Address - Street 1:172 ROUTE 101
Practice Address - Street 2:UNIT 26
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-5416
Practice Address - Country:US
Practice Address - Phone:603-930-6662
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-27
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH023022-23363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH023022-23OtherNURSE PRACTITIONER LICENSE
NH30005503Medicaid
11378324OtherCAQH
1326007683OtherNPI
1326007683OtherNPI