Individual
REBECCA LYNN FAULDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
3364A S NEW YORK AVE, MILWAUKEE, WI 53207-3730
(414) 852-9499
Mailing address
3364A S NEW YORK AVE, MILWAUKEE, WI 53207-3730
(414) 852-9499
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
138905-30
WI
363LF0000X
Family Nurse Practitioner
Primary
6117-33
WI
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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