Provider Demographics
NPI:1306004502
Name:STURNER, REBECCA MAGILL (RN)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:MAGILL
Last Name:STURNER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 MEADOWVIEW DR
Mailing Address - Street 2:
Mailing Address - City:TRAPPE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-2141
Mailing Address - Country:US
Mailing Address - Phone:610-831-9069
Mailing Address - Fax:
Practice Address - Street 1:306 MEADOWVIEW DR
Practice Address - Street 2:
Practice Address - City:TRAPPE
Practice Address - State:PA
Practice Address - Zip Code:19426-2141
Practice Address - Country:US
Practice Address - Phone:610-831-9069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-26
Last Update Date:2008-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN286364L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse