Individual
REBECCA NEUWIRTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1901
(320) 251-2700
Mailing address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1901
(763) 428-2288
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6488
MN
Other
Enumeration date
03/18/2019
Last updated
04/09/2021
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