Rebecca Pruella Anderson in Oconomowoc - Adult Health
Rebecca Pruella Anderson - NPI 1447365598
Rebecca Pruella Anderson is a Adult Health in Oconomowoc, Wisconsin. Rebecca Pruella Anderson practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Rebecca Pruella Anderson is 1447365598. The last update date is 2012-01-16.
Rebecca Pruella Anderson's current location address is 785 Summit Ave Ste 101, Oconomowoc, Wisconsin. You can contact this provider via phone number 2625690345 and fax number 2625690333. The mailing address for Rebecca Pruella Anderson is 785 Summit Ave Ste 101, Oconomowoc, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Rebecca Pruella Anderson |
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Address | 785 Summit Ave Ste 101, Oconomowoc, Wisconsin |
Phone Number | 2625690345 |
Fax Number | 2625690333 |
Sole Proprietor | N |
Credentials | NP |
NPI Number Detail
NPI Number | 1447365598 |
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Provider Enumeration Date | 2006-08-20 |
Last Updated Date | 2012-01-16 |
Provider Mailing Address Detail
Address | 785 Summit Ave Ste 101 |
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City | Oconomowoc |
State | Wisconsin (WI) |
Post Code | 530663844 |
Phone Number | 2625690345 |
Fax Number | 2625690333 |
Provider's Primary Taxonomy Detail
Speciality | Adult Health |
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Taxonomy | 363La2200X |
Licence No | 2574-033 |
Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
41266700 | WI | WISCONSIN MEDICAID PROGRAM |
Post Comment/ Review Below
What is the Rebecca Pruella Anderson's unique identification number?
The Rebecca Pruella Anderson has been assigned the NPI (National Provider Identifier) Number 1447365598 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Rebecca Pruella Anderson is located?
The Rebecca Pruella Anderson is situated at the following address: 785 Summit Ave Ste 101, Oconomowoc, WI, 530663844.
What is Rebecca Pruella Anderson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Rebecca Pruella Anderson is Adult Health, and the taxonomy code that categorizes this field of expertise is 363La2200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1447365598 to Rebecca Pruella Anderson?
The Centers for Medicare & Medicaid Services originally issued the 1447365598 to Rebecca Pruella Anderson on 2006-08-20.
As of what date was the information regarding Rebecca Pruella Anderson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Rebecca Pruella Anderson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-01-16.