Individual
REBECCA J WINGSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHA, RN, CCM
Contact information
Practice address
493 E ELIZABETH DAY CV, DRAPER, UT 84020-5189
(801) 891-6470
Mailing address
493 E ELIZABETH DAY CV, DRAPER, UT 84020-5189
(801) 891-6470
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
220502-3102
UT
163WC0400X
Case Management Registered Nurse
807986
CA
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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