Provider Demographics
NPI:1548918618
Name:HASBUN, RACHEL (DNP, FNP-C, RN)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:HASBUN
Suffix:
Gender:F
Credentials:DNP, FNP-C, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 RICHMOND PKWY APT 614
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94806-5213
Mailing Address - Country:US
Mailing Address - Phone:954-600-2936
Mailing Address - Fax:
Practice Address - Street 1:3400 RICHMOND PKWY APT 614
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94806-5213
Practice Address - Country:US
Practice Address - Phone:954-600-2936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-16
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA694659163W00000X
FL11039027363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse