Healthcare Provider Details

I. General information

NPI: 1770096919
Provider Name (Legal Business Name): REBECCA S ESSER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBECCA S CHAPIN

II. Dates (important events)

Enumeration Date: 11/09/2017
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

342 N WATER ST STE 600
MILWAUKEE WI
53202-5715
US

IV. Provider business mailing address

270 MAIN ST N STE 300
STILLWATER MN
55082-6788
US

V. Phone/Fax

Practice location:
  • Phone: 651-342-1039
  • Fax: 651-342-1428
Mailing address:
  • Phone: 651-342-1039
  • Fax: 651-342-1428

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number7915-33
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number7915
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: