Individual
BERNICE FRANCESCA WANTA REBUTIACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, ARNP, AGNPC-AC
Contact information
Practice address
16251 SYLVESTER RD SW, BURIEN, WA 98166-3017
(253) 426-6341
(253) 426-6344
Mailing address
16251 SYLVESTER RD SW, BURIEN, WA 98166-3017
(253) 426-6341
(253) 426-6344
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60654280
WA
163WC0200X
Critical Care Medicine Registered Nurse
RN60654280
WA
363L00000X
Nurse Practitioner
AP61294991
WA
363LG0600X
Gerontology Nurse Practitioner
Primary
AP61294991
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2254630
—
WA
Enumeration date
07/17/2019
Last updated
01/11/2024
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