Anderson, Rebecca Pruella

Anderson, Rebecca Pruella is an individual health care provider with primary practice located at 785 Summit Ave Ste 101 Prohealth Care Women'S Center, Oconomowoc WI 53066-3844. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Anderson, Rebecca Pruella can be contacted via phone (262) 569-0345.

Contact Information

Primary practice address
785 Summit Ave Ste 101 Prohealth Care Women'S Center Oconomowoc WI 53066-3844
Phone: (262) 569-0345
Fax: (262) 569-0333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2574-033 Wisconsin

Profile Details

NPI number 1447365598
LBN Legal business name Anderson, Rebecca Pruella
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Jan 16th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447365598 NPPES
Wisconsin Other 41266700 WISCONSIN MEDICAID PROGRAM

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