Provider Demographics
NPI:1982888079
Name:DAUM, REBECCA CHRISTINE (RN)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:CHRISTINE
Last Name:DAUM
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5570 CR 25
Mailing Address - Street 2:
Mailing Address - City:CARDINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43315-9346
Mailing Address - Country:US
Mailing Address - Phone:419-560-2796
Mailing Address - Fax:
Practice Address - Street 1:5570 COUNTY ROAD 25
Practice Address - Street 2:
Practice Address - City:CARDINGTON
Practice Address - State:OH
Practice Address - Zip Code:43315-9346
Practice Address - Country:US
Practice Address - Phone:419-560-2796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-26
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH335822163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse