Individual
REBECCA AGBAYANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
519 W JUBAL EARLY DR STE 301, WINCHESTER, VA 22601-6519
(540) 536-5500
(540) 536-5507
Mailing address
519 W JUBAL EARLY DR STE 301, WINCHESTER, VA 22601-6519
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008163
VA
363A00000X
Physician Assistant
9939
GA
363A00000X
Physician Assistant
—
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1170909
NCCPA CERTIFICATION
—
Enumeration date
01/13/2019
Last updated
01/20/2025
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