Provider Demographics
NPI:1003248683
Name:SOUZA, REBECCA A (ANP-BC)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:A
Last Name:SOUZA
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:A
Other - Last Name:SETTLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:545 BEDFORD ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02324-3117
Mailing Address - Country:US
Mailing Address - Phone:508-697-3677
Mailing Address - Fax:508-697-9396
Practice Address - Street 1:545 BEDFORD ST
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02324-3117
Practice Address - Country:US
Practice Address - Phone:508-697-3677
Practice Address - Fax:508-697-9396
Is Sole Proprietor?:No
Enumeration Date:2013-08-06
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT101.0136082363LA2200X
MA284747363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
2013007915OtherANCC