Individual
REBECCA K MALKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
333 E 2ND ST, RICHLAND CENTER, WI 53581-1914
(608) 647-6321
Mailing address
333 E 2ND ST, RICHLAND CENTER, WI 53581-1914
(608) 647-6321
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9080-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437625563
—
WI
Enumeration date
10/16/2018
Last updated
08/19/2025
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