Provider Demographics
NPI:1558827592
Name:LEVINE, REBECCA N (PA)
Entity type:Individual
Prefix:MISS
First Name:REBECCA
Middle Name:N
Last Name:LEVINE
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:5589 ARGONNE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80249-8989
Mailing Address - Country:US
Mailing Address - Phone:720-515-8805
Mailing Address - Fax:720-516-8806
Practice Address - Street 1:5589 ARGONNE ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80249-8989
Practice Address - Country:US
Practice Address - Phone:720-515-8805
Practice Address - Fax:720-516-8806
Is Sole Proprietor?:No
Enumeration Date:2019-02-14
Last Update Date:2025-09-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
COPA.0009302363A00000X
FLPA9112012363A00000X
ALPA.2221363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant