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Individual

REBECCA LYNN BUCHHOLTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
9000 W WISCONSIN AVE, WAUWATOSA, WI 53226-4874
(414) 266-4725
Mailing address
P.O. BOX 1997, MS 622 CHILDREN'S HOSPITAL OF WISCONSIN, WAUWATOSA, WI 53201-1997

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
154631-030
WI
363LN0000X
Neonatal Nurse Practitioner
Primary
3953-033
WI

Other

Enumeration date
03/11/2010
Last updated
09/18/2012
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