Individual
MICHELLE RENEE REBENACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
937 E 186TH ST, WESTFIELD, IN 46074-7827
(765) 804-8044
(855) 225-0295
Mailing address
937 E 186TH ST, WESTFIELD, IN 46074-7827
(765) 804-8044
(855) 225-0295
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
28178788A
IN
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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