Reatherford, Rebecka Ann

Reatherford, Rebecka Ann is an individual health care provider with primary practice located at 902 Lakeview Ave , Pueblo CO 81004-3597. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Reatherford, Rebecka Ann can be contacted via phone (719) 557-5855.

Contact Information

Primary practice address
902 Lakeview Ave Pueblo CO 81004-3597
Phone: (719) 557-5855
Fax: (719) 557-5097
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 0994158 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APN.0994158-NP Colorado

Profile Details

NPI number 1053895532
LBN Legal business name Reatherford, Rebecka Ann
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2018
Last updated Mar 1st, 2023 - about 3 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 1053895532 NPPES
Colorado MEDICAID 9000182390

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