Provider Demographics
NPI:1316510373
Name:LETRICK, REBECCA ANN (FNP-C)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:ANN
Last Name:LETRICK
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:ANN
Other - Last Name:HIBBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1227 SMITH TOWNSHIP STATE RD
Mailing Address - Street 2:
Mailing Address - City:BURGETTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15021-2828
Mailing Address - Country:US
Mailing Address - Phone:724-947-2255
Mailing Address - Fax:724-947-2477
Practice Address - Street 1:1227 SMITH TOWNSHIP STATE RD
Practice Address - Street 2:
Practice Address - City:BURGETTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15021-2828
Practice Address - Country:US
Practice Address - Phone:724-947-2255
Practice Address - Fax:724-947-2477
Is Sole Proprietor?:No
Enumeration Date:2021-07-19
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP023857363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAF03211313OtherAANPCB
PASP023857OtherPA STATE BOARD OF NURSING - CRNP