DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REBECCA LYNN BOURBON, P.A.-C

Active

REBECCA LYNN BOURBON, P.A.-C is a Physician Assistant healthcare provider located in RIO RANCHO, New Mexico. NPI 1003973231 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · RIO RANCHO, NM

Registration Details

NPI Number
1003973231
Provider Type
Individual
Gender
Female
NPI Issued
Jan 3, 2007 (19.568903072708 yrs)
Last Updated
Sep 10, 2015
Licenses
92-PA09 (NM)
92-PA09 (NM)

Practice Information

Address
4005 HIGH RESORT BLVD SE
RIO RANCHO, NM, 871245906
Browse NM providers · Browse ZIP 87124
Phone
5054626000
Fax
5054628472
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Medical Physician Assistant

Other Physician Assistant Providers in RIO RANCHO, NM

Name Credential NPI
MR. IMTIAZ A MALIK PA-C 1356322762
MR. TIMOTHY D ERICKSON PA-C 1447364724
SANDRA VAZQUEZ GEUBELLE PA-C 1154474401
HAN SHEFFLER 1376689745
APRIL B HAWKES PA-C 1568658128
MS. NANCY KITTREDGE STOCKDALE PAC 1639335102
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.