Provider Demographics
NPI:1174355416
Name:BEAUBIEN, REBECCA LYNN (RN, AACNS-P)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:LYNN
Last Name:BEAUBIEN
Suffix:
Gender:F
Credentials:RN, AACNS-P
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Other - Middle Name:
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Mailing Address - Street 1:6713 MANDARIN CV
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46845-9158
Mailing Address - Country:US
Mailing Address - Phone:260-399-4899
Mailing Address - Fax:
Practice Address - Street 1:PARKVIEW REGIONAL MEDICAL CENTER
Practice Address - Street 2:11109 PARKVIEW PLAZA DRIVE
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46845
Practice Address - Country:US
Practice Address - Phone:260-672-6611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN2000552810364SP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPediatrics