Individual
MS. REBECCA R. RUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13950 W. W. CAPITOL DRIVE, SUITE 200, BROOKFIELD, WI 53005-2441
(262) 781-3065
(262) 781-3835
Mailing address
13950 W. W. CAPITOL DRIVE, SUITE 200, BROOKFIELD, WI 53005-2441
(262) 781-3065
(262) 781-3835
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3783-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598993925
—
WI
Enumeration date
06/24/2009
Last updated
03/23/2016
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