Individual
REBECCA RUTH BIRCKHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1918 HAWKS RIDGE DR APT 211, VERONA, WI 53593-8513
(608) 213-2377
Mailing address
1918 HAWKS RIDGE DR APT 211, VERONA, WI 53593-8513
(608) 213-2377
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
171402-30
WI
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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