Healthcare Provider Details

I. General information

NPI: 1982539839
Provider Name (Legal Business Name): REBECCA LYNN HASKINS MSN-FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215045 COUNTY ROAD KK
MOSINEE WI
54455-4322
US

IV. Provider business mailing address

215045 COUNTY ROAD KK
MOSINEE WI
54455-4322
US

V. Phone/Fax

Practice location:
  • Phone: 715-573-4886
  • Fax:
Mailing address:
  • Phone: 715-573-4886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number18523-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: