Provider Demographics
NPI:1417961533
Name:FRANKLIN, REBECCA WALTERS (RN)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:WALTERS
Last Name:FRANKLIN
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 1:19525 N PAPAGO DR
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-5107
Mailing Address - Country:US
Mailing Address - Phone:623-584-5252
Mailing Address - Fax:
Practice Address - Street 1:45 S 3RD AVE
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85323-2264
Practice Address - Country:US
Practice Address - Phone:623-772-5110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN11973163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ811845Medicare UPIN