Individual
JOSEPH GRIFFIN REBIDEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-7000
Mailing address
1155 MILL ST MS M14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-4196
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024180223
VA
363LA2100X
Acute Care Nurse Practitioner
838829
NV
363LA2200X
Adult Health Nurse Practitioner
838829
NV
363LG0600X
Gerontology Nurse Practitioner
838829
NV
Other
Enumeration date
10/08/2020
Last updated
06/10/2021
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