Provider Demographics
NPI:1043074818
Name:CAMURATI, REBECCA NICOLE
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:NICOLE
Last Name:CAMURATI
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 1:1708 ABBEY LOOP
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-1623
Mailing Address - Country:US
Mailing Address - Phone:251-223-3623
Mailing Address - Fax:
Practice Address - Street 1:1708 ABBEY LOOP
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-1623
Practice Address - Country:US
Practice Address - Phone:251-223-3623
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-141798163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health