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Individual
MRS. REBECCA ANN REDMOND
Active
Individual
MRS. REBECCA ANN REDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
638379
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
638379
STATE LICENSE
TX
01
—
P00773116
RAILROAD MEDICARE PROVIDER NUMBER
TX
Enumeration date
07/31/2006
Last updated
03/17/2018
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