Provider Demographics
NPI:1538461439
Name:PENTON, REBEKAH LEIGH (RN, GNP-BC)
Entity type:Individual
Prefix:MRS
First Name:REBEKAH
Middle Name:LEIGH
Last Name:PENTON
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Gender:F
Credentials:RN, GNP-BC
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Mailing Address - Street 1:1210 HARDESTY AVE
Mailing Address - Street 2:
Mailing Address - City:SEABROOK
Mailing Address - State:TX
Mailing Address - Zip Code:77586-3870
Mailing Address - Country:US
Mailing Address - Phone:409-256-0775
Mailing Address - Fax:281-220-8356
Practice Address - Street 1:2323 CLEAR LAKE CITY BLVD 180-199
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77062-8120
Practice Address - Country:US
Practice Address - Phone:713-770-0691
Practice Address - Fax:281-220-8356
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-28
Last Update Date:2015-10-05
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Provider Licenses
StateLicense IDTaxonomies
TX679569363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology