Individual
REBECCA JOYCE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1081 E JOHNSON ST, FOND DU LAC, WI 54935-8919
(920) 367-6700
(262) 700-4657
Mailing address
1081 E JOHNSON ST, FOND DU LAC, WI 54935-8919
(920) 367-6700
(262) 700-4657
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5968 - 33
WI
Other
Enumeration date
09/07/2014
Last updated
05/22/2024
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