Individual
REBECKA MARIE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
RN239049
MA
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN239049
MA
Other
Enumeration date
05/28/2010
Last updated
08/30/2012
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