Doctor Name: | MRS. REBECCA LYNN TREWYN |
NPI Number: | 1033259726 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | A.P.N.P. |
License Number: | 2592-033 |
Business Practice Address: | 751 County Road K Fond Du Lac, WI - 549357707 |
Business Phone Number: | 9209293856 |
Business Fax Number: | |
Mailing Address: | N3307 County Road M, WAUPUN |
State: | WI |
Postal Code: | 539639439 |
Phone Number: | 9203245886 |
Fax Number: | |
NPI Enumeration Date: | 02/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 2592-033 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |