Provider Demographics
NPI:1134411622
Name:HAYES, REBECCA MARY ELIZABETH (ARNP-C)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:MARY ELIZABETH
Last Name:HAYES
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:MRS
Other - First Name:REBECCA
Other - Middle Name:MARY ELIZABETH
Other - Last Name:GLAUBITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP-C
Mailing Address - Street 1:1318 PINE ST
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-3117
Mailing Address - Country:US
Mailing Address - Phone:321-952-9500
Mailing Address - Fax:321-952-2299
Practice Address - Street 1:1318 PINE ST
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-3117
Practice Address - Country:US
Practice Address - Phone:321-952-9500
Practice Address - Fax:321-952-2299
Is Sole Proprietor?:No
Enumeration Date:2011-05-03
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9250867363LX0001X
FLAPRN9250867363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology