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Individual

REBECCA ANN NISSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
933 RED APPLE RD, WENATCHEE, WA 98801-3370
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DR.0055238
CO
207Q00000X
Family Medicine Physician
Primary
MD61131660
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
19517572
CO
Enumeration date
06/21/2013
Last updated
11/09/2023
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