Most Relevant Information
Provider Data
| NPI Number: | 1003529595 |
| Provider Name: | REBECCA MEDLIN RN, BSN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WX0106X |
| Specialty: | Registered Nurse |
| License Number: | 123113 |
Most Important Dates
| Enumeration Date: | 12/30/2022 |
| Last Updated: | 12/30/2022 |
Provider Practice Location
25201 EAST 78 HWY
INDEPENDENCE
MO
64056
Practice Location Phone/Fax
| Phone: | 8167967307 |
| Fax: | 8167967305 |
Provider Mailing Location
2625 S LEES SUMMIT RD
INDEPENDENCE
MO
640551940
Provider Mailing Phone/Fax
| Phone: | 8165298434 |
| Fax: |