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NPI Code Detail

MEDICARE: REBECCA STURGES RN PMHNP-BC

MEDICARE: REBECCA STURGES RN PMHNP-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
1163W00000XRegistered Nurse660891NY
2363LP0808XPsychiatric/Mental Health Nurse Practitioner402414NY
3363LP0808XPsychiatric/Mental Health Nurse PractitionerRN2380804MA
4363LP0808XPsychiatric/Mental Health Nurse Practitioner1152363TX

General Provider Information

NPI Number : 1578808358
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA STURGES RN PMHNP-BC
Provider Business Mailing Address
First Line : 144 OAKLAND ST
Second Line :
City : WELLESLEY
State : MA
Zip : 02481-5323
Country : US
Telephone Number : 508-658-3489
Fax Number : 833-740-3387
Provider Business Practice Location Address
First Line : 300 BAKER AVE STE 300
Second Line :
City : CONCORD
State : MA
Zip : 01742-2124
Country : US
Telephone Number : 508-658-3489
Fax Number : 833-740-3387
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2012
Last Update Date : 10/28/2024

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