Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Rebecca Koiti Nabosa

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1558078220

Rebecca Koiti Nabosa is a Nurse Practitioner in Queen Creek, Arizona. Qualified in 2022, 4 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2022
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Practice location Address checks out

4441 W Vervain Ave
Queen Creek, AZ 85142-1376
Phone: (515) 664-4875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 276726 (AZ)

Record details

NPI number1558078220
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 2, 2022
Last updated in NPPESNovember 2, 2022
Certification dateNovember 2, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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