Individual
BECKY PRUSAKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
200 E FAIRMAN AVE, WATSEKA, IL 60970-1644
(815) 432-7722
(815) 432-7874
Mailing address
6052 W 817 N, LAKE VILLAGE, IN 46349-9519
(567) 825-8714
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28262434A
IN
363LF0000X
Family Nurse Practitioner
Primary
209.028752
IL
Other
Enumeration date
07/31/2023
Last updated
02/04/2025
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