Provider Demographics
NPI:1407130172
Name:ARTH, REBECCA L (WHNP, FNP)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:L
Last Name:ARTH
Suffix:
Gender:F
Credentials:WHNP, FNP
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:L
Other - Last Name:TENHOLDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:WHNP
Mailing Address - Street 1:8600 NE 82ND ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64158-1430
Mailing Address - Country:US
Mailing Address - Phone:816-741-9122
Mailing Address - Fax:
Practice Address - Street 1:8600 NE 82ND ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64158-1430
Practice Address - Country:US
Practice Address - Phone:816-741-9122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-29
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2328772363L00000X
NC5005977363LW0102X
VA0024169678363LW0102X
MO2020022255363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner