Provider Demographics
NPI:1700025749
Name:RABEL, MARIE LINDA (PMHNP-BC, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:LINDA
Last Name:RABEL
Suffix:
Gender:F
Credentials:PMHNP-BC, FNP-BC
Other - Prefix:
Other - First Name:MARIE
Other - Middle Name:LINDA
Other - Last Name:ANDRAL COLON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:N/A
Mailing Address - Street 1:16072 SHASTA ST
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34714-0001
Mailing Address - Country:US
Mailing Address - Phone:352-978-4035
Mailing Address - Fax:
Practice Address - Street 1:16072 SHASTA ST
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34714-0001
Practice Address - Country:US
Practice Address - Phone:352-978-4035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-16
Last Update Date:2024-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN3389702363L00000X
FL3389702363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000418100Medicaid
FLDS618YMedicare PIN