NPI Profile for REBECCA J CARPENTER in FOND DU LAC, WI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1417358623 |
|
| Status | Active | |
| Credentials | APNP | |
| Entity | Individual | |
| Enumeration date | 09/07/2014 | |
| Last updated | 05/22/2024 - About 2 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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REBECCA J CARPENTER
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