Individual
REBECCA D WAEGLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
4501 S 70TH ST, SUITE 110, LINCOLN, NE 68516-4282
(402) 489-3834
(402) 489-5049
Mailing address
4501 S 70TH ST, SUITE 110, LINCOLN, NE 68516-4282
(402) 489-3834
(402) 489-5049
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
933
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36004
MIDLANDS CHOICE
NE
01
—
37320
BLUE CROSS BLUE SHIELD
NE
05
—
47049487112
—
NE
Enumeration date
06/23/2006
Last updated
10/22/2007
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