Doctor Name: | MS. REBECCA ANN WILLIAMS |
NPI Number: | 1225324536 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 120959-30 |
Business Practice Address: | S76w19873 Prospect Dr Muskego, WI - 531508224 |
Business Phone Number: | 4144031125 |
Business Fax Number: | |
Mailing Address: | S76w19873 Prospect Drive, MUSKEGO |
State: | WI |
Postal Code: | 53150 |
Phone Number: | 4144031125 |
Fax Number: | |
NPI Enumeration Date: | 06/24/2011 |
NPI Last Update Date: | 06/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WG0000X |
License Number: | 120959-30 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | General Practice |
Taxonomy Definition: |