Individual
REBEKAH BROOKE MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1911 COOKS HILL RD, CENTRALIA, WA 98531-9073
(360) 736-6778
(360) 736-6552
Mailing address
1911 COOKS HILL RD, CENTRALIA, WA 98531-9073
(360) 736-6778
(360) 736-6552
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN00170668
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN00170668
RN LICENSE
WA
Enumeration date
09/09/2013
Last updated
09/09/2013
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