Individual
REBECCA D GAYHEART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1755 AIRWAY AVE, KINGMAN, AZ 86409-3620
(928) 681-1234
(928) 681-1811
Mailing address
604 ANN ST, SUITE B368, PARKERSBURG, WV 26101-5122
(304) 424-4014
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP7971
AZ
363LA2200X
Adult Health Nurse Practitioner
Primary
AP7971
AZ
363LF0000X
Family Nurse Practitioner
AP7971
AZ
Other
Enumeration date
05/05/2015
Last updated
01/04/2016
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