National Provider Identifier Database

SHOBHA REBALA, APRN – NPI #1457731663
Primary Care


Contact Information

SHOBHA REBALA, APRN
2617 MITCHAM DR STE 102
TALLAHASSEE, FL32308-5479
Phone: 850-878-1171
Fax: 850-942-1291
Website:
Specialty Taxonomy Code
* Primary Care 363LP2300X
Adult Health 363LA2200X
Gerontology 364SG0600X

* Indicates primary specialty

NPI Profile & details for SHOBHA REBALA

NPI Number 1457731663
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 06/02/2015
Last updated 11/29/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • FL License #: ARNP9179052
  • FL Medicaid: 018671700
  • FL Medicaid: 060754100
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for SHOBHA REBALA, APRN

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