Provider Demographics
NPI:1780881466
Name:DELCAMBRE, REBECCA LYNN (APRN,PNP)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:LYNN
Last Name:DELCAMBRE
Suffix:
Gender:F
Credentials:APRN,PNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1068 HIGHWAY 454
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71360-9229
Mailing Address - Country:US
Mailing Address - Phone:318-487-1358
Mailing Address - Fax:318-487-9584
Practice Address - Street 1:2226 WORLEY DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-3600
Practice Address - Country:US
Practice Address - Phone:318-561-0003
Practice Address - Fax:318-561-0038
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1668363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
LARN062889OtherRN LICENSE NUMBER
LA1668OtherTEMPORARY APRN PERMIT