| Doctor Name: | MRS. REBECCA ANN POIRIER |
| NPI Number: | 1588900609 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APNP |
| License Number: | 5184-33 |
| Business Practice Address: | 1881 County Road Xx Kronenwetter, WI - 544557933 |
| Business Phone Number: | 7153554040 |
| Business Fax Number: | |
| Mailing Address: | 1881 County Road Xx, KRONENWETTER |
| State: | WI |
| Postal Code: | 544557933 |
| Phone Number: | 7153554040 |
| Fax Number: | |
| NPI Enumeration Date: | 12/18/2012 |
| NPI Last Update Date: | 12/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | 5184-33 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |