Active NPIIndividual providerSole proprietor

Rebecca T Wakulyaka, LPN

Licensed Practical Nurse in Revere, Massachusetts

NPI Number1265147169
Practice location
297 Proctor Ave, Revere, MA 02151-4907
Fax
—
Last updated
January 16, 2023

Rebecca T Wakulyaka is a Licensed Practical Nurse based in Revere, MA. Rebecca T Wakulyaka practices in Revere, MA and has the professional credentials of LPN. The NPI Number for Rebecca T Wakulyaka is 1265147169 and holds a License No. LN87279 (MA). The current practice location address for Rebecca T Wakulyaka is 297 Proctor Ave, Revere, MA 02151-4907 and can be reached out via phone at 617-849-4756.

Provider Profile Details

NPI Number
1265147169
Provider Name
Rebecca T Wakulyaka
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
297 Proctor Ave, Revere, MA 02151-4907
Phone Number
617-849-4756
Primary Taxonomy
Licensed Practical Nurse · 164W00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 16, 2023
Last Update Date
January 16, 2023
Certification Date
January 16, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
297 Proctor Ave
Revere, MA 02151-4907
City
Revere
Zip
02151-4907
Phone Number
617-849-4756
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
297 Proctor Ave
Revere, MA 02151-4907
City
Revere
State
MA
Zip
02151-4907
Phone Number
617-849-4756

License Information

License Number
LN87279
License State
MA
Taxonomy
Licensed Practical Nurse · 164W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Rebecca T Wakulyaka, LPN?

The NPI number of Rebecca T Wakulyaka, LPN is 1265147169. It was assigned on January 16, 2023 and is currently active in the NPPES registry.

What is the specialty of Rebecca T Wakulyaka, LPN?

Rebecca T Wakulyaka, LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in MA under license number LN87279.

Where does Rebecca T Wakulyaka, LPN practice?

The practice location is 297 Proctor Ave, Revere, MA 02151-4907. The office can be reached at 617-849-4756 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265147169 directly on the NPPES registry website.

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