Provider Demographics
NPI:1306801949
Name:PATTERSON, REBEKAH AMY (FNP)
Entity type:Individual
Prefix:MISS
First Name:REBEKAH
Middle Name:AMY
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 353
Mailing Address - Street 2:185 WEST 300 SO.
Mailing Address - City:ANNABELLA
Mailing Address - State:UT
Mailing Address - Zip Code:84711-0353
Mailing Address - Country:US
Mailing Address - Phone:435-896-9561
Mailing Address - Fax:435-896-9564
Practice Address - Street 1:850 N MAIN ST
Practice Address - Street 2:
Practice Address - City:RICHFIELD
Practice Address - State:UT
Practice Address - Zip Code:84701-1841
Practice Address - Country:US
Practice Address - Phone:435-896-9561
Practice Address - Fax:435-896-9564
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT328676-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT328676-4405OtherSTATE LICENCE NUMBER