Provider Demographics
NPI:1588113203
Name:LIBAL, REBECCA (ANP)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:LIBAL
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:MISS
Other - First Name:REBECCA
Other - Middle Name:ANDRINA
Other - Last Name:FINROW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3851 PIPER ST STE U230
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-6901
Mailing Address - Country:US
Mailing Address - Phone:907-276-2400
Mailing Address - Fax:907-276-4888
Practice Address - Street 1:3851 PIPER ST STE U230
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-6901
Practice Address - Country:US
Practice Address - Phone:907-868-2075
Practice Address - Fax:907-312-5882
Is Sole Proprietor?:No
Enumeration Date:2016-09-22
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK115228363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health