Provider Demographics
NPI:1235303298
Name:PAIRSH, REBEKAH DAWN (CNM, FNP)
Entity Type:Individual
Prefix:
First Name:REBEKAH
Middle Name:DAWN
Last Name:PAIRSH
Suffix:
Gender:F
Credentials:CNM, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6800 STATE HIGHWAY 121
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-2905
Mailing Address - Country:US
Mailing Address - Phone:469-800-5680
Mailing Address - Fax:
Practice Address - Street 1:6800 STATE HIGHWAY 121
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-2905
Practice Address - Country:US
Practice Address - Phone:469-800-5680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-21
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12689367A00000X
TX759283367A00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife