Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | SP009584 | PA |
NPI | 1013188671 |
---|---|
Provider Name | Rebekah M Stepp |
First Address | Crafton, PA 15205-2604 |
Second Address | Crafton, PA 15205-2604 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2008 |
Last Update Date | 19/11/2013 |