Individual provider · Type 1 NPI
Rebecca Wideman, FNP-C
Family Nurse Practitioner · St. Clair Shores, MI
NPI number
1720438401
Active
Practice location
29200 Harper Ave
St. Clair Shores, MI 48081-1274
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4704270250 (MI) |
Family Nurse Practitioner: Definition to come...
4 other providers at this address
- Shores Rheumatology PCRheumatology Physician St. Clair Shores, MI NPI 1497975510
- Amar Q. Majjhoo, MDRheumatology Physician St. Clair Shores, MI NPI 1255411039
- Andrew J. Sulich, MDRheumatology Physician St. Clair Shores, MI NPI 1508946385
- Daric Alexander Mueller, PA-CPhysician Assistant St. Clair Shores, MI NPI 1578113171
Other family nurse practitioner providers in St. Clair Shores
- Carrie L. AndersonFamily Nurse Practitioner St. Clair Shores, MI NPI 1033515036
- Jennifer Kulinski, FNP-BCFamily Nurse Practitioner St. Clair Shores, MI NPI 1033595749
- Ayesha Massey Bennett, FNP-CFamily Nurse Practitioner St. Clair Shores, MI NPI 1053895193
- Meghan Martinovski, NPFamily Nurse Practitioner St. Clair Shores, MI NPI 1053897496
- Ronald August Bonaventura Jr.Family Nurse Practitioner St. Clair Shores, MI NPI 1063880573
- Chand SheoranFamily Nurse Practitioner St. Clair Shores, MI NPI 1124646476
- Florence Arabia P. Acebedo, FNP-CFamily Nurse Practitioner St. Clair Shores, MI NPI 1215587100
- Krystal Rose ShockFamily Nurse Practitioner St. Clair Shores, MI NPI 1255254819
About NPI 1720438401
Rebecca Wideman, FNP-C's National Provider Identifier is 1720438401, issued on Jun 14, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Clair Shores, MI. The record was last updated on Dec 12, 2020.