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Individual
REBECCA LYNN SHARP MCMILLEN
Active
Individual
REBECCA LYNN SHARP MCMILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
790384-01
NY
163W00000X
Registered Nurse
RN564977
PA
363LF0000X
Family Nurse Practitioner
Primary
F346546
NY
363LF0000X
Family Nurse Practitioner
SP022338
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
790384
REGISTERED PROFESSIONAL NURSE
NY
01
—
F346546
NY NURSE PRACTITIONER IN FAMILY HEALTH
NY
01
—
RN564977
REGISTERED NURSE
PA
01
—
SP022338
CERTIFIED REGISTERED NURSE PRACTITIONER
PA
Enumeration date
07/29/2020
Last updated
02/23/2021
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