Doctor Name: | REBECCA S RASMUSSON |
NPI Number: | 1083755342 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 205177-4405 |
Business Practice Address: | 1059 N 100 W Beaver, UT - 847131690 |
Business Phone Number: | 4354387280 |
Business Fax Number: | 4354387210 |
Mailing Address: | 1059 N 100 W, Po Box 1690 BEAVER |
State: | UT |
Postal Code: | 847131690 |
Phone Number: | 4354387280 |
Fax Number: | 4354387210 |
NPI Enumeration Date: | 02/09/2007 |
NPI Last Update Date: | 11/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 205177-4405 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |