Individual
REBECCA ANNE MOUSHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP, RN
Contact information
Practice address
1000 VALE TERRACE, VISTA, CA 92084
(760) 631-5000
(760) 414-3701
Mailing address
1000 VALE TERRACE, VISTA, CA 92084
(760) 631-5000
(760) 414-3701
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
AP3994
AZ
363LP0200X
Pediatric Nurse Practitioner
Primary
NP20617
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
717275
—
AZ
Enumeration date
01/17/2007
Last updated
05/01/2011
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