Individual
REBECCA LYNN NOWACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3301 N BALLARD RD STE B, APPLETON, WI 54911-9002
(920) 733-4443
(920) 733-4796
Mailing address
3301 N BALLARD RD STE B, APPLETON, WI 54911-9002
(920) 733-4443
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
129153-30
WI
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
129153-30
WI
Other
Enumeration date
06/24/2022
Last updated
08/10/2023
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