Individual
RACHEL LYNN SQUIBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
W 175 N 1117 STONEWOOD DR, UNIT 100, GERMANTOWN, WI 53022
(262) 293-3951
Mailing address
3025 NEWARK DR E, WEST BEND, WI 53090-8624
(414) 551-7991
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
232538-30
WI
363LF0000X
Family Nurse Practitioner
Primary
15203-33
WI
Other
Enumeration date
02/01/2024
Last updated
04/02/2024
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