Individual
REBEKAH ANN VAN SOMEREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4251 STACK BLVD, MELBOURNE, FL 32901-8526
(321) 953-2219
Mailing address
401 N MICHIGAN AVE, CHICAGO, IL 60611-4255
(872) 231-3074
(312) 635-0050
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11022876
FL
Other
Enumeration date
03/31/2018
Last updated
12/12/2023
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