Provider Demographics
NPI:1255566618
Name:RABINOWITZ, AMY HERMA (RN)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:HERMA
Last Name:RABINOWITZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:AMY
Other - Middle Name:HERMA
Other - Last Name:RABINOWITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 1330
Mailing Address - Street 2:
Mailing Address - City:DESERT HOT SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92240-0943
Mailing Address - Country:US
Mailing Address - Phone:760-773-6767
Mailing Address - Fax:760-773-6760
Practice Address - Street 1:42130 PALM DRIVE
Practice Address - Street 2:
Practice Address - City:DESERT HOT SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:99240-0943
Practice Address - Country:US
Practice Address - Phone:760-773-6767
Practice Address - Fax:760-773-6760
Is Sole Proprietor?:No
Enumeration Date:2009-05-28
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA742498163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult