Individual
REBEKAH BURRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
724 MAPLE WAY N, WAUKESHA, WI 53188-2613
(262) 409-9899
Mailing address
724 MAPLE WAY N, WAUKESHA, WI 53188-2613
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
15367130
WI
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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