Individual
REBECCA SPIEWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9050 S LEAH LN, OAK CREEK, WI 53154-4180
(414) 839-7422
Mailing address
9050 S LEAH LN, OAK CREEK, WI 53154-4180
(414) 839-7422
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
253928-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
253928-30
WI-DSPS
WI
Enumeration date
07/16/2021
Last updated
07/16/2021
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