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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REBECCA PRAKASH, CRNP

Active Sole Proprietor

REBECCA PRAKASH, CRNP is a Nurse Practitioner healthcare provider located in SAN DIEGO, California. NPI 1164963716 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · SAN DIEGO, CA

Registration Details

NPI Number
1164963716
Provider Type
Individual
Gender
Female
NPI Issued
Mar 15, 2017 (9.4065457727178 yrs)
Last Updated
May 11, 2021
Licenses
R215956 (MD)
95008207 (CA)
95008207 (CA)
95008207 (CA)
Sole Proprietor
Yes

Practice Information

Address
5717 PACIFIC CENTER BLVD STE 200
SAN DIEGO, CA, 921214250
Browse CA providers · Browse ZIP 92121
Phone
8588591188
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in SAN DIEGO, CA

Name Credential NPI
DR. JEREMY RAY FLOWERS N.P. 1013913045
NANCY J BRASS-MYNDERSE CFNP, MSN 1164421962
YOUNGMI P KIM N.P. 1720089618
VICKI TARVER FAUCHER FNP 1295724375
MELISSA D MCLENON NP 1801887179
MS. EILEEN C CHERRY NP 1336121698
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.