Provider Demographics
NPI:1285102947
Name:KAMBER, REBECCA (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:KAMBER
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 DUNMORE DR
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-6501
Mailing Address - Country:US
Mailing Address - Phone:561-346-1556
Mailing Address - Fax:
Practice Address - Street 1:1411 N FLAGLER DR STE 4900
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-3410
Practice Address - Country:US
Practice Address - Phone:561-835-3396
Practice Address - Fax:561-802-9951
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-10
Last Update Date:2019-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11000059363LF0000X
FL11000059363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1285102947OtherCREDENTIALING SPECIALIST