Provider Demographics
NPI:1992009583
Name:TREBIL, REBECCA DONNA (APRN, C-NP)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:DONNA
Last Name:TREBIL
Suffix:
Gender:F
Credentials:APRN, C-NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N5717 770TH ST
Mailing Address - Street 2:
Mailing Address - City:ELLSWORTH
Mailing Address - State:WI
Mailing Address - Zip Code:54011-4723
Mailing Address - Country:US
Mailing Address - Phone:651-246-4183
Mailing Address - Fax:
Practice Address - Street 1:401 HARDING ST NE # 100
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55413-2801
Practice Address - Country:US
Practice Address - Phone:612-398-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-22
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI240878-30163W00000X
MNR 174364-1163W00000X
MN7282363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse