Individual
MS. REBECCA LYNN SIDBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8424 NAAB RD STE 1B, INDIANAPOLIS, IN 46260-1954
(317) 338-7490
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-3500
(314) 230-1119
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2016032502
MO
363LF0000X
Family Nurse Practitioner
Primary
71017332A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420038556
—
MO
Enumeration date
12/01/2016
Last updated
12/09/2025
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