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Contact Information

REBECCA LUCILLE, A.P.R.N. PSYCHIATRIC
5965 S 900 E
SUITE 240
SALT LAKE CITY, UT84121-1720
 Phone: 801-263-7225
 Fax: 201-263-7279
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health, Adult

364SP0809X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for REBECCA LUCILLE · (Female)

NPI Number 1417934324
Status Active
Credentials A.P.R.N. PSYCHIATRIC
Entity Individual
Enumeration date 12/30/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 3423224405
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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