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NPI Code Detail

MEDICARE: MS. REBECCA WHARTON PEIL RN, MSN, FNP-BC

MEDICARE:  MS. REBECCA WHARTON PEIL  RN, MSN, FNP-BC
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
1363LF0000XFamily Nurse PractitionerAP2076AZ
2363LF0000XFamily Nurse Practitioner200850117NP FNP-PPOR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1200850117NPOTHERORLICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316910078
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. REBECCA WHARTON PEIL RN, MSN, FNP-BC
Provider Business Mailing Address
First Line : PO BOX 8500, LOCKBOX 7642
Second Line : SHRINERS HOSPITAL FOR CHILDREN PORTLAND
City : PHILADELPHIA
State : PA
Zip : 19178-7642
Country : US
Telephone Number : 813-281-8115
Fax Number : 813-281-8656
Provider Business Practice Location Address
First Line : 2801 N GANTENBEIN AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97227-1623
Country : US
Telephone Number : 503-413-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2006
Last Update Date : 11/13/2024

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