MEDICARE: MS. REBECCA A PURINTON APRN-NP

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	363L00000X	Nurse Practitioner	1140497	TX

General Provider Information

NPI Number	:	1336351170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. REBECCA A PURINTON APRN-NP

Provider Business Mailing Address
First Line	:	3044 OLD DENTON RD STE 138
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75007-5099
Country	:	US
Telephone Number	:	972-245-0007
Fax Number	:	972-245-9272

Provider Business Practice Location Address
First Line	:	3044 OLD DENTON RD STE 138
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75007-5099
Country	:	US
Telephone Number	:	972-245-0007
Fax Number	:	972-245-9272

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

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	01/16/2024

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