Individual
MRS. REBECCA ANNE HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPA, PA-C, CAQ-PSY
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110010437
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1195811
NCCPA
—
Enumeration date
01/05/2022
Last updated
05/19/2025
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