Provider Demographics
NPI:1205718350
Name:SOLCHENBERGER, REBECCA JO
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:JO
Last Name:SOLCHENBERGER
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4365 EAGLE RIDGE LN APT 3
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:WI
Mailing Address - Zip Code:53598-2308
Mailing Address - Country:US
Mailing Address - Phone:608-462-7161
Mailing Address - Fax:
Practice Address - Street 1:4365 EAGLE RIDGE LN APT 3
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:WI
Practice Address - Zip Code:53598-2308
Practice Address - Country:US
Practice Address - Phone:608-462-7161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI161873-30163WP0808X, 163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health