Individual
REBECCA RENEA SACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
518 PINE ST, STEELVILLE, MO 65565-6041
(573) 775-5838
Mailing address
518 PINE ST, STEELVILLE, MO 65565-6041
(573) 775-5838
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020041681
MO
Other
Enumeration date
04/13/2021
Last updated
02/03/2022
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