Individual
REBECCA J. COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1065 HIGHWAY 248, BRANSON, MO 65616-8398
(417) 336-6011
(417) 336-9827
Mailing address
1065 HIGHWAY 248, BRANSON, MO 65616-8398
(417) 336-6011
(417) 336-9827
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2000159434
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176434758
—
AR
05
—
1821230707
—
MO
01
—
431560263
TRICARE WEST
—
01
—
P00700788
RAILROAD MEDICARE
—
Enumeration date
03/24/2009
Last updated
06/12/2009
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