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Individual
REBECCA WAGSCHAL
Active
Individual
REBECCA WAGSCHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, CNM
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
B-129554
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
G178943
IA
363LW0102X
Women's Health Nurse Practitioner
F166745
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
IA
05
—
PENDING
—
IL
Enumeration date
05/04/2016
Last updated
07/10/2024
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