Provider Demographics
NPI:1932413242
Name:WOLFE, REBECCA LYNN (RN NREMT-P)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:LYNN
Last Name:WOLFE
Suffix:
Gender:F
Credentials:RN NREMT-P
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:109 KEANE ST
Mailing Address - Street 2:
Mailing Address - City:RIDGEWAY
Mailing Address - State:WI
Mailing Address - Zip Code:53582-9784
Mailing Address - Country:US
Mailing Address - Phone:608-924-0043
Mailing Address - Fax:608-924-0021
Practice Address - Street 1:109 KEANE ST
Practice Address - Street 2:
Practice Address - City:RIDGEWAY
Practice Address - State:WI
Practice Address - Zip Code:53582-9784
Practice Address - Country:US
Practice Address - Phone:608-924-0043
Practice Address - Fax:608-924-0021
Is Sole Proprietor?:No
Enumeration Date:2010-07-28
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WIP0925406146L00000X
WI158871-30163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic