Individual
REBECCA ANN WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
640 JACKSON ST # MS 11108B, SAINT PAUL, MN 55101-2502
(651) 254-4816
(651) 254-4816
Mailing address
14432 LOWER GUTHRIE CT, APPLE VALLEY, MN 55124-6744
(952) 358-1535
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R-093655-6
MN
363L00000X
Nurse Practitioner
Primary
R 0936556
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699982876
NPI
—
Enumeration date
05/17/2007
Last updated
02/14/2018
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