Individual
REBECCA E PFLUGHOEFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
930 E WALL ST, EAGLE RIVER, WI 54521-9368
(715) 477-3000
(715) 477-3100
Mailing address
930 E WALL ST, EAGLE RIVER, WI 54521-9368
(715) 477-3000
(715) 477-3100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
101293-030
WI
363LF0000X
Family Nurse Practitioner
4704122828
MI
363LF0000X
Family Nurse Practitioner
5015-33
WI
363LF0000X
Family Nurse Practitioner
501533
WI
363LP2300X
Primary Care Nurse Practitioner
Primary
5015-33
WI
363LP2300X
Primary Care Nurse Practitioner
501533
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FO812263
AANP
—
Enumeration date
10/23/2009
Last updated
01/11/2021
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