Provider Demographics
NPI:1487162509
Name:DUBIN, REBECCA (MA, BSN, RN)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:DUBIN
Suffix:
Gender:F
Credentials:MA, BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2445 3RD AVENUE SOUTH
Mailing Address - Street 2:HEALTH SERVICES, SEATTLE PUBLIC SCHOOLS, MS 31-650
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-1165
Mailing Address - Country:US
Mailing Address - Phone:206-252-0750
Mailing Address - Fax:
Practice Address - Street 1:2445 3RD AVE S # MS 31-650
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98134-1923
Practice Address - Country:US
Practice Address - Phone:206-252-0750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-11
Last Update Date:2018-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00142622163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse