Doctor Name: | REBECCA LYNN SCARBROUGH |
NPI Number: | 1003196197 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | COA.12555-NP |
Business Practice Address: | 2 Health Center Drive Athens, OH - 45701 |
Business Phone Number: | 3307250569 |
Business Fax Number: | 3306620258 |
Mailing Address: | 2 Health Center Drive, ATHENS |
State: | OH |
Postal Code: | 45701 |
Phone Number: | 3307250569 |
Fax Number: | 3306620258 |
NPI Enumeration Date: | 08/22/2011 |
NPI Last Update Date: | 10/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | COA.12555-NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |