Individual
REBEL RENEA CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
7400 LYNN AVE, HAMLIN, WV 25523-1138
(304) 824-5806
(304) 824-5885
Mailing address
7400 LYNN AVE, HAMLIN, WV 25523-1138
(304) 524-7284
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
62507-RN 2009007356
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810016640
—
WV
Enumeration date
10/29/2009
Last updated
04/15/2013
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