Individual
REBECCA L AMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
147290-30
WI
176B00000X
Midwife
Primary
275-49
WI
Other
Enumeration date
06/30/2011
Last updated
01/12/2021
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