Individual
REBECCA J HAUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
915 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1443
(765) 463-2424
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28188953A
IN
363LF0000X
Family Nurse Practitioner
Primary
71005320A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000921057
ANTHEM PROVIDER NUMBER
IN
05
—
201273920
—
IN
Enumeration date
12/12/2014
Last updated
04/20/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us