Individual
MRS. REBECCA LYNN SCHMITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
425 PINE RIDGE BLVD STE 211, WAUSAU, WI 54401-4123
(715) 845-5505
Mailing address
3682 LAURIE ANN LN, WAUSAU, WI 54401-8400
(715) 351-0217
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
121280-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598916199
MEDICARE RAILROAD
WI
05
—
1598916199
—
WI
Enumeration date
10/02/2008
Last updated
11/18/2011
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