# REBECCA ANNE MOUSHON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1871645358
- **Gender:** F
- **Credential:** PNP, RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | AP3994 | AZ | — |
| 363LP0200X | Pediatric Nurse Practitioner | NP20617 | CA | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 05/01/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 717275 | — | AZ |