Individual
REBECCA LYNN SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
W1556 64TH ST, LYNDON STATION, WI 53944-9335
(608) 217-1245
Mailing address
W1556 64TH ST, LYNDON STATION, WI 53944-9335
(608) 217-1245
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
15306-33
WI
Other
Enumeration date
01/15/2024
Last updated
06/01/2024
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