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Organization

REBECCA LEIGH WACHSMUTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REBECCA LEIGH WACHSMUTH CNP (OWNER)
(715) 813-0212
Entity
Organization

Contact information

Practice address
24 N 21ST AVE W, DULUTH, MN 55806-2017
(715) 813-0212
Mailing address
1015 BROADWAY ST, SUPERIOR, WI 54880-1856
(715) 813-0212

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
10/22/2025
Last updated
10/22/2025
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