Individual
REBECCA A LIEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2300 W SAHARA AVE STE 800, LAS VEGAS, NV 89102-4397
(203) 666-8145
Mailing address
501 GOPHER DR, TOMAH, WI 54660-4513
(608) 372-2181
(608) 374-6648
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2751
WI
363L00000X
Nurse Practitioner
Primary
829613
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2751
STATE LICENSE
WI
Enumeration date
02/10/2007
Last updated
07/19/2024
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