Individual provider · Type 1 NPI

Rebecca Ann Moddie

Licensed Practical Nurse · Iron Mountain, MI

NPI number 1114844313 Active

Practice location

325 E H St
Iron Mountain, MI 49801-4760

Call (906) 774-3300 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X323415-31 (WI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1114844313

Rebecca Ann Moddie's National Provider Identifier is 1114844313, issued on Jun 30, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Iron Mountain, MI. The record was last updated on Jun 30, 2026.