| Rebecca Husain, | |
|
4507 S Encanto Ln, Holladay, UT 84117-4329 | |
| (210) 846-2585 | |
| Not Available |
| Full Name | Rebecca Husain |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Psychiatric/mental Health |
| Location | 4507 S Encanto Ln, Holladay, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528880879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 11787926-3102 (Utah) | Primary |
| Entity Name | Salt Lake Behavioral Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295066116 PECOS PAC ID: 6709915473 Enrollment ID: O20120315000189 |
| Entity Name | Novu Wellness And Aesthetics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396510152 PECOS PAC ID: 1456701820 Enrollment ID: O20231227001762 |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Husain, 4507 S Encanto Ln, Holladay, UT 84117-4329 Ph: (210) 846-2585 | Rebecca Husain, 4507 S Encanto Ln, Holladay, UT 84117-4329 Ph: (210) 846-2585 |
Matthew George Morris, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4611 S Clearview St, Holladay, UT 84117 Phone: 801-792-8157 | |
Mrs. Natalie Anne Davis Brown, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2040 Murray Holladay Rd, Ste 205, Holladay, UT 84117 Phone: 801-274-0299 |