Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 26NJ00380900 | NJ |
Y | 363LA2100X | Nurse Practitioner - Acute Care | 26NJ00380900 | NJ |
NPI | 1023390390 |
---|---|
Provider Name | Rachel D Berberabe |
First Address | New Lisbon, NJ 08064-0130 |
Second Address | Haddon Heights, NJ 08035-1938 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2011 |
Last Update Date | 01/07/2021 |