Individual
REBECCA ANN WILLENBORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
3 MEDICAL PLAZA DR, SUITE 260, ROSEVILLE, CA 95661-3087
(916) 733-7977
(916) 733-7979
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
NPF11414
CA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
NP11414
CA
Other
Enumeration date
06/23/2008
Last updated
07/24/2015
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