Taratuta, Rebecca
Taratuta, Rebecca is an individual health care provider with primary practice located at 940 W Mount Vernon St Ste 100, Nixa MO 65714-9618. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Taratuta, Rebecca can be contacted via phone (417) 724-5300.Contact Information
Primary practice address
940 W Mount Vernon St Ste 100
Nixa MO 65714-9618
Phone: (417) 724-5300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2015034095 | Missouri |
Profile Details
| NPI number | 1760852347 |
|---|---|
| LBN Legal business name | Taratuta, Rebecca |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2015 |
| Last updated | Nov 4th, 2015 - about 9 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 | 1760852347 | NPPES |
| Missouri | MEDICAID | PENDING | |
| Missouri | Other | PENDING |
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