Individual
MISS REBECCA LOUISE WAINRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1224 FAGIN DR, COLORADO SPRINGS, CO 80915-2209
(719) 648-6934
Mailing address
UNIT 45013 BOX 2249, APO, AP 96338-5013
810464074128
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN.1625183
CO
261QP2300X
Primary Care Clinic/Center
535000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
535000
NURSING LICENSE
TX
01
—
RN.1625183
RN LICENSE
CO
Enumeration date
02/13/2007
Last updated
09/21/2021
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