Provider Demographics
NPI:1831076926
Name:HADCHITI, REBEKA
Entity type:Individual
Prefix:
First Name:REBEKA
Middle Name:
Last Name:HADCHITI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 SANDY LAKE DRIVE
Mailing Address - Street 2:
Mailing Address - City:LEAMINGTON
Mailing Address - State:ON
Mailing Address - Zip Code:N8H 5K4
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:42 SANDY LAKE DRIVE
Practice Address - Street 2:
Practice Address - City:LEAMINGTON
Practice Address - State:ON
Practice Address - Zip Code:N8H 5K4
Practice Address - Country:CA
Practice Address - Phone:226-345-9263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704317496363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner