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Individual

MRS. REBECCA ANN HAEFNER MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
110 W MAIN ST STE 400, MADELIA, MN 56062-1440
(507) 621-4654
(507) 528-7307
Mailing address
PO BOX 2, MADELIA, MN 56062-0002
(507) 621-4654
(507) 528-7307

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1413
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R-171994-7
MN

Other

Enumeration date
06/25/2012
Last updated
01/26/2026
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