Individual
REBEKAH A.S. NOURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4630 17TH STREET, SARASOTA, FL 34235
(941) 487-5400
Mailing address
4630 17TH STREET, SARASOTA, FL 34235
(941) 487-5400
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
RN9195976
FL
163W00000X
Registered Nurse
Primary
RN9195976
FL
222Q00000X
Developmental Therapist
RN9195976
FL
Other
Enumeration date
03/04/2008
Last updated
04/17/2012
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