MEDICARE: REBEKAH HERSHEY

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	363LP0200X	Pediatric Nurse Practitioner	202325833	CO

General Provider Information

NPI Number	:	1487332201
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBEKAH HERSHEY

Provider Business Mailing Address
First Line	:	2351 PARK CENTRE DR APT 2-202
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80234-5644
Country	:	US
Telephone Number	:	215-353-8427
Fax Number	:

Provider Business Practice Location Address
First Line	:	7190 COLORADO BLVD STE 450
Second Line	:
City	:	COMMERCE CITY
State	:	CO
Zip	:	80022-1847
Country	:	US
Telephone Number	:	303-289-1086
Fax Number	:

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

Provider Enumeration Date	:	07/11/2023
Last Update Date	:	07/11/2023

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Directions to “ REBEKAH HERSHEY ” Practice Location

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