Fant, Rebecca

Fant, Rebecca is an individual health care provider with primary practice located at 6002 Slide Rd # D24 , Lubbock TX 79414-4310. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Fant, Rebecca can be contacted via phone (806) 761-0450.

Contact Information

Primary practice address
6002 Slide Rd # D24 Lubbock TX 79414-4310
Phone: (806) 761-0450
Fax: (806) 796-7259
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 617399 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP110620 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP110620 Texas

Profile Details

NPI number 1114982030
LBN Legal business name Fant, Rebecca
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Nov 17th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114982030 NPPES
Texas MEDICAID 145684002

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