Individual
MRS. REBECCA IODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2000 E LAYTON AVE, ST FRANCIS, WI 53235-6053
(414) 744-7880
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7254
WI
363LF0000X
Family Nurse Practitioner
7254-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100067707
—
WI
Enumeration date
10/13/2016
Last updated
10/11/2023
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