Healthcare Provider Details

I. General information

NPI: 1306740097
Provider Name (Legal Business Name): BILLIEJO REHBERG RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 E SCHOOL ST
SHARON WI
53585-9641
US

IV. Provider business mailing address

104 E SCHOOL ST
SHARON WI
53585-9641
US

V. Phone/Fax

Practice location:
  • Phone: 262-736-4477
  • Fax: 262-736-4457
Mailing address:
  • Phone: 262-736-4477
  • Fax: 262-736-4457

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number154913-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: