MEDICARE: REBECCA SEATON PA-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
1	363A00000X	Physician Assistant	PA2323	NV

General Provider Information

NPI Number	:	1902476740
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA SEATON PA-C

Provider Business Mailing Address
First Line	:	245 S GIBSON RD APT 4207
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89012-2678
Country	:	US
Telephone Number	:	971-645-2978
Fax Number	:

Provider Business Practice Location Address
First Line	:	2911 N TENAYA WAY STE 105
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0488
Country	:	US
Telephone Number	:	702-252-8378
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2021
Last Update Date	:	06/24/2021

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