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Individual

REBECCA LEIGH WACHSMUTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
24 N 21ST AVE W, DULUTH, MN 55806-2017
(715) 813-0212
Mailing address
1015 BROADWAY ST, SUPERIOR, WI 54880-1856
(715) 813-0212

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP4740
MN

Other

Enumeration date
09/01/2016
Last updated
10/22/2025
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