Individual provider · Type 1 NPI
Rebecca Shortreed
Specialist · Mequon, WI
NPI number
1962366740
Active
Practice location
1501 W Market St Ste 110
Mequon, WI 53092-5053
Mailing address
1975 Farmlane Dr
Slinger, WI 53086-3003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 8127-403 (WI) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Mequon
About NPI 1962366740
Rebecca Shortreed's National Provider Identifier is 1962366740, issued on Dec 15, 2025. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Mequon, WI. The record was last updated on Dec 15, 2025.