Provider Demographics
NPI:1386001063
Name:TAPPAN, REBECCA (RN)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:
Last Name:TAPPAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13236 SUNLAND DR
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:DE
Mailing Address - Zip Code:19968-2990
Mailing Address - Country:US
Mailing Address - Phone:302-245-1098
Mailing Address - Fax:
Practice Address - Street 1:8609 3RD ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:DE
Practice Address - Zip Code:19960-2813
Practice Address - Country:US
Practice Address - Phone:302-422-1650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-26
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0048093163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse