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Individual

REBECCA E PFLUGHOEFT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

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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