Knabenshue, Rebecca

Knabenshue, Rebecca is an individual health care provider with primary practice located at 10000 Sw Innovation Way , Port St Lucie FL 34987-2111. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Knabenshue, Rebecca can be contacted via phone (772) 345-8100.

Contact Information

Primary practice address
10000 Sw Innovation Way Port St Lucie FL 34987-2111
Phone: (772) 345-8100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 28220120A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN11021503 Florida
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 71011224A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 11021503 Florida

Profile Details

NPI number 1033783220
LBN Legal business name Knabenshue, Rebecca
Credentials APRN (AGACNP-BC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2021
Last updated Apr 28th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033783220 NPPES
Indiana MEDICAID 300051460

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