Healthcare Provider Details

I. General information

NPI: 1265502132
Provider Name (Legal Business Name): BELEN REBECA MOJICA RN, BSN, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 WOODFIN ST.
ASHEVILLE NC
28801
US

IV. Provider business mailing address

228 BRETON RIDGE RD.
LEICESTER NC
28748
US

V. Phone/Fax

Practice location:
  • Phone: 828-250-4000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number207317
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: