Individual
REBECCA J MADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
501 SOUTH BURMA AVE., GILLETTE, WY 82716
(307) 688-5002
(307) 688-5069
Mailing address
P.O. BOX 3011, GILLETTE, WY 82717
(307) 688-5002
(307) 688-5069
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13435
WY
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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