Rebecca McGrew, RN

Individual provider Active NPI Home Health Registered Nurse · Suring, WI

NPI 1801075221 · NPPES record last updated May 22, 2013

Key facts

NPI
1801075221
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Registered Nurse 163WH0200X
License
158591-030 (WI)
Practice address
425 Manor Dr
Suring, WI 54174-9182
Phone
(920) 842-4132
NPI assigned
Nov 1, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
158591-030WIMDHome Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 158591-030 WI Yes

Addresses

Primary practice location

425 Manor Dr
Suring, WI 54174-9182

Mailing address

425 Manor Dr
Suring, WI 54174-9182
Phone (920) 842-4132

Other names

  • Rebecca Bayard Former name

Other providers in Suring, WI

All providers in Suring, WI · Home Health Registered Nurse in Wisconsin

Sources for this page

Verify at the official NPI Registry.