Rebecca S Rasmusson, NP

Individual provider Active NPI Family Nurse Practitioner · Beaver, UT

NPI 1083755342 · NPPES record last updated Nov 30, 2012

Key facts

NPI
1083755342
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
205177-4405 (UT)
Practice address
1059 N 100 W
Beaver, UT 84713-1690
Phone
(435) 438-7280
Fax
(435) 438-7210
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
205177-4405UTMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 205177-4405 UT Yes

Addresses

Primary practice location

1059 N 100 W
Beaver, UT 84713-1690

Mailing address

1059 N 100 W
PO Box 1690
Beaver, UT 84713-1690
Phone (435) 438-7280

Other providers in Beaver, UT

All providers in Beaver, UT · Family Nurse Practitioner in Utah

Sources for this page

Verify at the official NPI Registry.