Individual
REBECCA ETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACPN-BC
Contact information
Practice address
2300 ROCKBROOK DR, SUITE 100 C, LEWISVILLE, TX 75067-8181
(972) 459-6632
(972) 459-6626
Mailing address
2300 ROCKBROOK DR, SUITE 100 C, LEWISVILLE, TX 75067-8181
(972) 459-6632
(972) 459-6626
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
662521
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP116817
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211017301
—
TX
01
—
8F23642
MEDICARE PTAN
TX
Enumeration date
06/03/2008
Last updated
01/12/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us