MRS. REBECCA LYNN BANDEEN


Address: 6610 W Cordia Ln, Phoenix, AZ 85083-7404
Phone: 6238243660

MRS. REBECCA LYNN BANDEEN (NPI# 1659918357) 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) 1659918357
Entity Type Individual
Full Name MRS. REBECCA LYNN BANDEEN
Credential IBCLC
Practice Address 6610 W Cordia Ln
Phoenix
AZ 85083-7404
Practice Telephone 6238243660
Practice Fax Number 6235729405
Mailing Telephone 6238243660
Mailing Fax Number 6235729405
Enumeration Date 2019-12-02
Last Update Date 2019-12-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WL0100X Registered Nurse
Specialization: Lactation Consultant
RN144575 AZ Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ 1578670121 05

Office Location

Street Address 6610 W CORDIA LN
City PHOENIX
State AZ
Zip Code 85083-7404

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578670121 Connie Ann Garcia Registered Nurse 6610 W Cordia Ln, Phoenix, AZ 85083-7404 2006-08-23
1407492069 Canyon Midwifery LLC Clinic/Center 6610 W Cordia Ln, Phoenix, AZ 85083-7404 2019-11-19
1528602059 Canyon Midwifery LLC Advanced Practice Midwife 6610 W Cordia Ln, Phoenix, AZ 85083-7404 2019-10-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275042657 Prestige Group Homes Assisted Living Facility 28001 N 31st Ave, Phoenix, AZ 85083 2017-09-28
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1568944049 Nicholas Ryan Wieferich Pharmacist 5450 W Happy Valley Rd, Phoenix, AZ 85083 2018-08-31
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1538643242 Nel's Nest Assisted Living, LLC Assisted Living Facility 3655 W Dynamite Blvd, Phoenix, AZ 85083-0860 2018-09-18
1508211673 Mansi Dave Internal Medicine 5164 W Quail Track Dr, Phoenix, AZ 85083-0863 2016-04-26
1043797905 Kara A Fishgold Nurse Practitioner 6325 W Briles Rd, Phoenix, AZ 85083-1003 2018-07-24
1053455634 Melanie O'rourke Speech Services, LLC Speech-Language Pathologist 6350 W Lariat Ln, Phoenix, AZ 85083-1004 2007-02-16
1538437538 Melanie O'rourke Speech-Language Pathologist 6350 W Lariat Ln, Phoenix, AZ 85083-1004 2011-12-05
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Taxonomy Information

Taxonomy Code 163WL0100X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Lactation Consultant

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184224917 Lauren Lyell Registered Nurse 1249 E Tonto Ln, Phoenix, AZ 85024-1770 2020-10-30
1184834350 Voni Jo Miller Registered Nurse 1901 E Lamar Rd, Phoenix, AZ 85016-1136 2007-05-23
1104343045 Kristin Marie Pelletier Registered Nurse 2113 Highland Ridge Dr, Phoenix, MD 21131-1217 2017-08-22
1720461114 Ruby Rachel Samaniego Registered Nurse 4212 N 16th St, Phoenix, AZ 85016-5319 2015-07-02
1295136463 Michaela Wagner Registered Nurse 8410 W Thomas Rd, Ste 137, Phoenix, AZ 85037-3374 2014-09-08
1427323989 Jolene B Edwards Registered Nurse 215 E Lexington Ave, Phoenix, AZ 85012-2321 2012-03-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548800790 Michele More Registered Nurse 645 S La Mirada Dr, Cornville, AZ 86325-5095 2020-01-15
1427697127 Health and Safety Consultants, LLC Registered Nurse 16221 N 91st Dr, Peoria, AZ 85382-3545 2019-12-27
1396386140 Laura Hanley Registered Nurse 7643 E Torrey Point Cir, Mesa, AZ 85207-1187 2019-10-02
1639725542 Leana Thompson Registered Nurse 6521 S Tucana Ln, Gilbert, AZ 85298-5713 2019-08-15
1891357794 Alisha Marie Peterson Registered Nurse 17824 E Chestnut Dr, Queen Creek, AZ 85142-8411 2019-07-01
1114485729 Angela L Kimmins Registered Nurse 461 N 9th Dr, Show Low, AZ 85901-4562 2019-03-04
1598239881 Shelby Abramson Registered Nurse 839 W Congress St Dept, Tucson, AZ 85745-2819 2019-01-19
1265900930 Lyrae Perini Registered Nurse 5351 S Big Horn Pl, Chandler, AZ 85249-6081 2018-11-11
1386139079 Alexys Leanne Amuso Registered Nurse 21579 N 84th Ln, Peoria, AZ 85382-4447 2018-06-26
1295240885 Heather L Kinder Registered Nurse 1200 N Vail View Rd, Vail, AZ 85641-9693 2017-12-05
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Competitor

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City PHOENIX
Zip Code 85083

Improve Information

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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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