Provider Demographics
NPI:1720978885
Name:DENNIS, REBECCA E
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:E
Last Name:DENNIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 ANNE ST
Mailing Address - Street 2:
Mailing Address - City:EAST LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01028-1904
Mailing Address - Country:US
Mailing Address - Phone:508-740-9773
Mailing Address - Fax:
Practice Address - Street 1:34 ANNE ST
Practice Address - Street 2:
Practice Address - City:EAST LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01028-1904
Practice Address - Country:US
Practice Address - Phone:508-740-9773
Practice Address - Fax:508-740-9773
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty