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Individual
REBECCA ANN CARSON
Active
Individual
REBECCA ANN CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNP.021679
OH
363LP0200X
Pediatric Nurse Practitioner
3006950
KY
363LP0200X
Pediatric Nurse Practitioner
Primary
5013743
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201032890
—
IN
05
—
71001174030
—
KY
Enumeration date
06/15/2011
Last updated
09/05/2023
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