Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 6638 | WI |
N | 363LA2100X | Nurse Practitioner - Acute Care | A105272 | IA |
N | 363LA2100X | Nurse Practitioner - Acute Care | H105272 | IA |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 6638 | WI |
NPI | 1023472966 |
---|---|
Provider Name | Rebecca Sue Krambeer |
First Address | La Crosse, WI 54601-5429 |
Second Address | La Crosse, WI 54601-5429 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2016 |
Last Update Date | 18/03/2020 |