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Individual
REBECCA KATHRYN LONGACRE
Active
Individual
REBECCA KATHRYN LONGACRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
796457
TX
363LF0000X
Family Nurse Practitioner
Primary
AP130162
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375924301
—
TX
05
—
375924302
—
TX
05
—
375924303
—
TX
Enumeration date
04/06/2016
Last updated
06/10/2021
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