Individual
REBECCA DEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3113 E WASHINGTON AVE, MADISON, WI 53704-4330
(608) 242-0220
Mailing address
3002 BOSSHARD DR, FITCHBURG, WI 53711-5858
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4202300
—
WI
Enumeration date
02/08/2007
Last updated
07/09/2007
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