Whalio Doctors

NPI 1003973231

Rebecca Lynn Bourbon, PAC

Practitioner Physician Assistant Rio Rancho, NM

Practice location

Address
4005 High Resort Blvd SE, Rio Rancho, NM 87124-5906
Phone
(505) 462-6000
Fax
(505) 462-8472
Mailing address
PO Box 26666 Presbyterian Healthcare Services, Albuquerque, NM 87125-6666

Registered specialties (2)

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 92-PA09 (NM)
Medical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 92-PA09 (NM)

Registry record

NPI
1003973231
Entity type
Individual
Sex (as registered)
Female
NPI issued
3 Jan 2007
Record last updated
10 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.