BERNICE FRANCESCA WANTA REBUTIACO DNP ARNP AGNPC-AC NPI 1144873324

NPI Information

NPI: 1144873324
Provider Name: BERNICE FRANCESCA WANTA REBUTIACO, DNP, ARNP, AGNPC-AC
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
16251 SYLVESTER RD SW
BURIEN, WA
ZIP 98166
Phone: (253) 426-6341
Get Directions

Bernice Francesca Wanta Rebutiaco, DNP, ARNP, AGNPC-AC is a gerontology nurse practitioner in Burien, WA with 2 years of experience. Bernice Francesca Wanta Rebutiaco, DNP, ARNP, AGNPC-AC NPI is 1144873324. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

16251 SYLVESTER RD SW
BURIEN, WA
ZIP 98166-017
Phone: (253) 426-6341
Fax: (253) 426-6344

The NPI 1144873324 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/17/2019 and was last updated on 1/11/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN60654280	WASHINGTON	No
2	163WC0200X	Registered Nurse	Critical Care Medicine	RN60654280	WASHINGTON	No
3	363L00000X	Nurse Practitioner		AP61294991	WASHINGTON	No
4	363LG0600X	Nurse Practitioner	Gerontology	AP61294991	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2254630	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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