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NPI Code Detail

MEDICARE: REBEKAH ELIZABETH PIERCE NP-C

MEDICARE: REBEKAH ELIZABETH PIERCE NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2100XAcute Care Nurse Practitioner2006024994MO

General Provider Information

NPI Number : 1376036954
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBEKAH ELIZABETH PIERCE NP-C
Provider Business Mailing Address
First Line : 1423 N JEFFERSON AVE STE K500
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65802-1988
Country : US
Telephone Number : 417-269-3813
Fax Number : 417-269-3817
Provider Business Practice Location Address
First Line : 1423 N JEFFERSON AVE
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65802-1988
Country : US
Telephone Number : 417-269-3813
Fax Number : 417-269-3817
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2018
Last Update Date : 06/08/2018

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