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Individual
REBECCA P VANLEEUWEN
Active
Individual
REBECCA P VANLEEUWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
541777
TX
367500000X
Certified Registered Nurse Anesthetist
541777
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP117653
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200919307
—
TX
01
—
8938UG
BCBS
TX
01
—
P01446785
RR
TX
Enumeration date
09/30/2008
Last updated
08/28/2023
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