Mckanna, Rebecca M
Mckanna, Rebecca M is an sole proprietor health care provider with primary practice located at 1600 116Th Ave Ne Suite 102, Bellevue WA 98004-3014. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mckanna, Rebecca M can be contacted via phone (425) 454-5311.Contact Information
Primary practice address
1600 116Th Ave Ne Suite 102
Bellevue WA 98004-3014
Phone: (425) 454-5311
Fax: (425) 454-8188
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 254985 | Massachusetts |
Profile Details
| NPI number | 1336132307 |
|---|---|
| LBN Legal business name | Mckanna, Rebecca M |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Oct 4th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336132307 | NPPES |
| Massachusetts | MEDICAID | 0701700 |
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