Individual
REBECCA OUTWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3233 W PEORIA AVE STE 106, PHOENIX, AZ 85029-4615
(623) 295-4905
Mailing address
3233 W PEORIA AVE STE 106, PHOENIX, AZ 85029-4615
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10960
AZ
Other
Enumeration date
03/27/2018
Last updated
07/09/2019
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