MEDICARE: MRS. REBECCA ANNE PIFER RN, 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	163WC0200X	Critical Care Medicine Registered Nurse	4704259865	MI
2	363LA2100X	Acute Care Nurse Practitioner	273532	NC
3	363LA2100X	Acute Care Nurse Practitioner	23430	CA

General Provider Information

NPI Number	:	1639458680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. REBECCA ANNE PIFER RN, NP

Provider Business Mailing Address
First Line	:	4525 VIA MARIA
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93111-1333
Country	:	US
Telephone Number	:	805-705-3161
Fax Number	:

Provider Business Practice Location Address
First Line	:	4525 VIA MARIA
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93111-1333
Country	:	US
Telephone Number	:	805-705-3161
Fax Number	:

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

Provider Enumeration Date	:	08/09/2011
Last Update Date	:	02/10/2022

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