Individual
REBECCA DELAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN,CDE
Contact information
Practice address
616 AURORA DR, GREEN BAY, WI 54302-4871
(920) 465-0583
Mailing address
616 AURORA DR, GREEN BAY, WI 54302-4871
(920) 465-0583
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
85441
WI
Other
Enumeration date
12/23/2016
Last updated
12/23/2016
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