Individual
REBEKAH DALE BARD-CARVALHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3272 E THOMPSON AVE, SAINT FRANCIS, WI 53235-4916
(269) 861-0688
Mailing address
3272 E THOMPSON AVE, SAINT FRANCIS, WI 53235-4916
(269) 861-0688
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14890
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100279544
—
WI
Enumeration date
01/30/2024
Last updated
10/04/2024
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