Individual
RACHEL R GAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
8400 WASHINGTON AVE, MOUNT PLEASANT, WI 53406-3735
(262) 321-3150
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7636
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100066747
—
WI
05
—
1053845826
—
WI
Enumeration date
04/18/2017
Last updated
11/06/2023
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