Individual
MRS. REBECCA JANE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
425 E 1ST ST, BLOOMSBURG, PA 17815-1480
(570) 387-2474
(570) 387-2397
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN682740
PA
367A00000X
Advanced Practice Midwife
Primary
MW010619
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MW010619
STATE LICENSE
PA
Enumeration date
04/29/2019
Last updated
10/23/2023
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