# REBECCA A LIEBERT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1588705552
- **Gender:** F
- **Credential:** APN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 2751 | WI | — |
| 363L00000X | Nurse Practitioner | 829613 | NV | Yes |

## Other

- **Enumeration date:** 02/10/2007
- **Last updated:** 07/19/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2751 | STATE LICENSE | WI |