Individual
REBECCA STREETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CPNP
Contact information
Practice address
10100 ELIDA RD, DELPHOS, OH 45833-9056
(800) 532-7239
(419) 695-0004
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9056
(800) 532-7239
(419) 695-0004
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
144545
OH
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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