Provider Demographics
NPI:1265797781
Name:PAINTER, REBECCA LYNN (CSFA)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:LYNN
Last Name:PAINTER
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Gender:F
Credentials:CSFA
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Mailing Address - Street 1:9915 E 82ND PL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-4557
Mailing Address - Country:US
Mailing Address - Phone:918-294-3364
Mailing Address - Fax:918-294-3364
Practice Address - Street 1:9915 E 82ND PL
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-4557
Practice Address - Country:US
Practice Address - Phone:918-294-3364
Practice Address - Fax:918-294-3364
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-10
Last Update Date:2022-07-21
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical