Individual
MRS. REBECCA ELLEN WAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
5450 E 425 N, MEDARYVILLE, IN 47957-8514
(574) 603-0067
(574) 205-9259
Mailing address
5450 E 425 N, MEDARYVILLE, IN 47957-8514
(574) 603-0067
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
28138946A
IN
363L00000X
Nurse Practitioner
71005656A
IN
363LF0000X
Family Nurse Practitioner
4049695
KY
363LF0000X
Family Nurse Practitioner
Primary
71005656A
IN
Other
Enumeration date
08/04/2015
Last updated
05/07/2026
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