Provider Demographics
NPI:1447874037
Name:REHBEIN, TINA MARIA
Entity type:Individual
Prefix:
First Name:TINA
Middle Name:MARIA
Last Name:REHBEIN
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 1:741 LA FOND AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:NV
Mailing Address - Zip Code:89403-9622
Mailing Address - Country:US
Mailing Address - Phone:702-328-0076
Mailing Address - Fax:
Practice Address - Street 1:741 LA FOND AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:NV
Practice Address - Zip Code:89403-9622
Practice Address - Country:US
Practice Address - Phone:702-328-0076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-30
Last Update Date:2020-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider