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Rebecca Pruella Anderson, NP
Adult Health Nurse Practitioner in Oconomowoc, Wisconsin
NPI 1447365598

Rebecca Pruella Anderson is an Adult Health Nurse Practitioner based in Waukesha, WI and is specialized in Adult Health. Rebecca Pruella Anderson practices in Oconomowoc, WI and has the professional credentials of NP. The NPI Number for Rebecca Pruella Anderson is 1447365598 and holds a License No. 2574-033 (Wisconsin).

The current practice location address for Rebecca Pruella Anderson is 785 Summit Ave Ste 101, Oconomowoc, WI and can be reached out via phone at 262-569-0345 and via fax at 262-569-0333.

Location: 785 Summit Ave Ste 101, Oconomowoc, WI, 53188-1177
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Provider Profile Details
NPI Number
1447365598
Provider Name
Rebecca Pruella Anderson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
785 Summit Ave Ste 101, Oconomowoc, WI, 53188-1177
Phone Number
262-569-0345
Fax Number
262-569-0333
Provider Enumeration Date
08/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
41266700 01 WI WISCONSIN MEDICAID PROGRAM
institution
Provider Business Practice Location Address Details
Address
785 Summit Ave Ste 101
City
State
Zip
53066-3844
Phone Number
262-569-0345
Fax Number
262-569-0333
person
Provider Business Mailing Address Details
Address
785 Summit Ave Ste 101
City
State
Zip
53066-3844
Phone Number
262-569-0345
Fax Number
262-569-0333
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
2574-033 (Wisconsin)
Definition
Definition to come...
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