Individual
REBECCA LOUISE EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
407 W SOUTH ST, UNION, SC 29379-2771
(864) 429-8846
(864) 429-9093
Mailing address
PO BOX 2168, SPARTANBURG, SC 29304-2168
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
28044
SC
363LP0200X
Pediatric Nurse Practitioner
5007060
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP6679
—
SC
01
—
SCR298H985
MEDICARE PIN
SC
Enumeration date
08/04/2014
Last updated
01/05/2024
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