REBECA RAQUEL IZTUETA


Address: 19 Gallagher Ln, Wharton, NJ 07885-1907
Phone: 9738746107

REBECA RAQUEL IZTUETA (NPI# 1235769910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235769910
Entity Type Individual
Full Name REBECA RAQUEL IZTUETA
Credential APN
Practice Address 19 Gallagher Ln
Wharton
NJ 07885-1907
Practice Telephone 9738746107
Enumeration Date 2020-01-22
Last Update Date 2020-01-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
2019075991 NJ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 19 GALLAGHER LN
City WHARTON
State NJ
Zip Code 07885-1907

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184139701 Darlene M Darata Pharmacist 314 Route 15 South, Wharton, NJ 07885 2017-12-05
1134662364 Bradie Sarah Polllard Specialist/Technologist 85 Taylor Rd, Wharton, NJ 07885 2016-11-20
1932505575 Chandani Shaya Devi Ram Pharmacist 314 Route15 South, Wharton, NJ 07885 2014-11-10
1720303597 Michael Brown Pharmacist 315 Route 15 North, Wharton, NJ 07885 2010-04-05
1992828099 Sharon Carol Stein Optometrist 315 State Highway 15 North, Wharton, NJ 07885 2007-04-06
1790881563 Northwest Rehabilitation Associates, Pa Physical Medicine & Rehabilitation 400 South Main Street, Wharton, NJ 07885 2006-09-16
1447360060 Costco Wholesale Corporation Pharmacy 315 State Route 15 N, Wharton, NJ 07885 2006-08-30
1356456131 Shop Rite of Englewood Associates Inc Pharmacy 314 Route 15, Wharton, NJ 07885 2006-08-20
1407828445 Guillermo Ortiz Obstetrics & Gynecology 249 South Main Street, Wharton, NJ 07885 2006-02-03
1841598026 Guillermo Ortiz M.d. Ob/gyn LLC Obstetrics & Gynecology 249 S Main St, Wharton, NJ 07885 2011-03-11
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

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1922611490 Rebecca Sydney Bandler Nurse Practitioner 6 Stony Hill Dr, Morganville, NJ 07751-1175 2020-08-25
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1124651203 Elizalde Legarda Villaruz Nurse Practitioner 1 Slate Hill Rd, Newton, NJ 07860-1113 2020-02-18
1972134583 Clare C Schuld Nurse Practitioner 30 Hyde Park Dr, East Brunswick, NJ 08816-5239 2020-02-01
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Competitor

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City WHARTON
Zip Code 07885

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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