Provider Demographics
NPI:1689783730
Name:GUZINSKI, REBECCA L (PA-C)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:L
Last Name:GUZINSKI
Suffix:
Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:207 N HAMMARSTROM AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68045-1415
Mailing Address - Country:US
Mailing Address - Phone:402-719-8020
Mailing Address - Fax:
Practice Address - Street 1:120 SOUTH 9TH STREET
Practice Address - Street 2:COTTONWOOD CLINIC
Practice Address - City:TEKAMAH
Practice Address - State:NE
Practice Address - Zip Code:68061-1487
Practice Address - Country:US
Practice Address - Phone:402-374-1585
Practice Address - Fax:402-374-1612
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE1027363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NEQ27437Medicare UPIN
NE086055001Medicare PIN