Most Relevant Information
Provider Data
| NPI Number: | 1003381815 |
| Provider Name: | REBEKAH KATHLEEN ROSSETTA CPNP-PC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | 10021593 |
Most Important Dates
| Enumeration Date: | 10/08/2018 |
| Last Updated: | 03/14/2024 |
Provider Practice Location
8385 DIVISION RD
WHITE CITY
OR
975031176
Practice Location Phone/Fax
| Phone: | 5417733863 |
| Fax: |
Provider Mailing Location
1221 DISK DR
MEDFORD
OR
975016638
Provider Mailing Phone/Fax
| Phone: | 5417733863 |
| Fax: |