Provider Demographics
NPI:1699228007
Name:HITT, REBECCA LYNN (APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:LYNN
Last Name:HITT
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 CLOVER RUN RD
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:WV
Mailing Address - Zip Code:26283-8852
Mailing Address - Country:US
Mailing Address - Phone:304-642-7906
Mailing Address - Fax:
Practice Address - Street 1:29 ASH LN
Practice Address - Street 2:
Practice Address - City:ELKINS
Practice Address - State:WV
Practice Address - Zip Code:26241-1112
Practice Address - Country:US
Practice Address - Phone:304-637-6828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-02
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVAPRN84261-FNP-BC363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily