Most Relevant Information
Provider Data
| NPI Number: | 1003401274 |
| Provider Name: | REBEKAH MACON FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 11012035 |
Most Important Dates
| Enumeration Date: | 03/09/2021 |
| Last Updated: | 09/27/2022 |
Provider Practice Location
77 ANTOSKI RD
GALENA
AK
997410077
Practice Location Phone/Fax
| Phone: | 9076561366 |
| Fax: |
Provider Mailing Location
PO BOX 143
GALENA
AK
997410143
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |