Provider Demographics
NPI:1194514273
Name:BUDYSZEWICK, REBECCA (PMHNP)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:BUDYSZEWICK
Suffix:
Gender:F
Credentials:PMHNP
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 741351
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33474-1351
Mailing Address - Country:US
Mailing Address - Phone:954-830-5800
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 741351
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33474-1351
Practice Address - Country:US
Practice Address - Phone:954-830-5800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11038999363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health