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Individual

MS. REBECCA JANE SHYTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1938 SOULE RD, CLEARWATER, FL 33759-1507
(727) 726-7442
(727) 288-1111
Mailing address
1938 SOULE RD, CLEARWATER, FL 33759-1507
(727) 726-7442
(727) 288-1111

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9190579
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4812791
AETNA
FL
05
768338300
FL
Enumeration date
05/25/2007
Last updated
05/07/2020
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