Individual
REBECCA CARPENTER
Active
Individual
REBECCA CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
SP022482
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15130220
CAQH
—
Enumeration date
04/20/2021
Last updated
09/15/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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