Provider Demographics
NPI:1831395417
Name:NEBAB, RACHEL ONA (RN,MA,AOCNP, ACNP,BC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ONA
Last Name:NEBAB
Suffix:
Gender:F
Credentials:RN,MA,AOCNP, ACNP,BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 WINDY WILLOW WAY
Mailing Address - Street 2:
Mailing Address - City:BRANCHBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-3569
Mailing Address - Country:US
Mailing Address - Phone:908-526-0022
Mailing Address - Fax:
Practice Address - Street 1:1275 YORK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-6007
Practice Address - Country:US
Practice Address - Phone:212-639-2000
Practice Address - Fax:212-717-1468
Is Sole Proprietor?:No
Enumeration Date:2007-06-21
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF430180-1363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care