Provider Demographics
NPI:1720591654
Name:FLEMING, REBECCA (APNP)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:FLEMING
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MEMORIAL MEDICAL CENTER
Mailing Address - Street 2:1615 MAPLE LANE
Mailing Address - City:ASHLAND
Mailing Address - State:WI
Mailing Address - Zip Code:54806-3610
Mailing Address - Country:US
Mailing Address - Phone:715-685-5513
Mailing Address - Fax:715-682-4022
Practice Address - Street 1:MEMORIAL MEDICAL CENTER
Practice Address - Street 2:1615 MAPLE LANE
Practice Address - City:ASHLAND
Practice Address - State:WI
Practice Address - Zip Code:54806-3610
Practice Address - Country:US
Practice Address - Phone:715-685-5513
Practice Address - Fax:715-682-4022
Is Sole Proprietor?:No
Enumeration Date:2017-11-14
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8137-33363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily