Provider Demographics
NPI:1508680539
Name:BAUMANN, REBECCA K (NP)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:K
Last Name:BAUMANN
Suffix:
Gender:F
Credentials:NP
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Other - Credentials:
Mailing Address - Street 1:BELOIT HEALTH SYSTEM INC
Mailing Address - Street 2:1969 W HART ROAD
Mailing Address - City:BELOIT
Mailing Address - State:WI
Mailing Address - Zip Code:53511-2230
Mailing Address - Country:US
Mailing Address - Phone:608-364-1615
Mailing Address - Fax:
Practice Address - Street 1:BELOIT CLINIC
Practice Address - Street 2:1905 E HUEBBE PARKWAY
Practice Address - City:BELOIT
Practice Address - State:WI
Practice Address - Zip Code:53511-1842
Practice Address - Country:US
Practice Address - Phone:608-364-1460
Practice Address - Fax:608-363-7317
Is Sole Proprietor?:No
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
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Provider Licenses
StateLicense IDTaxonomies
WI16058-33363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner