Provider Demographics
NPI:1992104871
Name:CALHOUN, REBEKA RENAE (APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:REBEKA
Middle Name:RENAE
Last Name:CALHOUN
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:PO BOX 18962
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4084
Mailing Address - Country:US
Mailing Address - Phone:800-566-5050
Mailing Address - Fax:
Practice Address - Street 1:1323 E FRANKLIN ST
Practice Address - Street 2:105
Practice Address - City:HILLSBORO
Practice Address - State:TX
Practice Address - Zip Code:76645-2621
Practice Address - Country:US
Practice Address - Phone:254-582-7481
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-18
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX690530163W00000X
TXAP125969363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse