Provider Demographics
NPI:1982228276
Name:CUNIBERTI, REBECCA (DNP, APRN, NP-C)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:CUNIBERTI
Suffix:
Gender:F
Credentials:DNP, APRN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3247 E 3925 S
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84124-2147
Mailing Address - Country:US
Mailing Address - Phone:203-313-2979
Mailing Address - Fax:
Practice Address - Street 1:3247 E 3925 S
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84124-2147
Practice Address - Country:US
Practice Address - Phone:203-313-2979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-02
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10155445-4405363LF0000X
UT10155445-3102163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse