Individual
REBECCA LYNN WINQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
1020 N 17TH ST, NILES, MI 49120-1922
(269) 591-9488
Mailing address
1020 N 17TH ST, NILES, MI 49120-1922
(269) 591-9488
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704241144
MI
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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