MS. REBECCA TERESA LUCAS FNP-C NPI 1710420906

NPI Information

NPI: 1710420906
Provider Name: MS. REBECCA TERESA LUCAS, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
5304 E SOUTHERN AVE
SUITE 110
MESA, AZ
ZIP 85206
Phone: (480) 237-3040
Get Directions

MS. Rebecca Teresa Lucas, FNP-C is a family nurse practitioner in Mesa, AZ. MS. Rebecca Teresa Lucas, FNP-C NPI is 1710420906. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5304 E SOUTHERN AVE
SUITE 110
MESA, AZ
ZIP 85206-623
Phone: (480) 237-3040

The NPI 1710420906 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 11/21/2016 and was last updated on 11/21/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	AP9655	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AZ9655	OTHER	ARIZONA	AZ STATE BOARD OF NURSING ADVANCED PRACTICE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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