Provider Demographics
NPI:1902970031
Name:ALARCON, REBECCA DENISE (FNP)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:DENISE
Last Name:ALARCON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:DENISE
Other - Last Name:TRAFECANTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:110 SUTTER ST
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-4002
Mailing Address - Country:US
Mailing Address - Phone:415-291-0480
Mailing Address - Fax:415-291-0489
Practice Address - Street 1:110 SUTTER ST
Practice Address - Street 2:6TH FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-4002
Practice Address - Country:US
Practice Address - Phone:415-291-0480
Practice Address - Fax:415-291-0489
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CA21149363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health