Provider Demographics
NPI:1760367809
Name:WETSEL, REBEKAH MARIE (FNP-C)
Entity type:Individual
Prefix:
First Name:REBEKAH
Middle Name:MARIE
Last Name:WETSEL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 HIGHWAY 71 E STE 101
Mailing Address - Street 2:
Mailing Address - City:BASTROP
Mailing Address - State:TX
Mailing Address - Zip Code:78602-5159
Mailing Address - Country:US
Mailing Address - Phone:512-304-0300
Mailing Address - Fax:
Practice Address - Street 1:3101 HIGHWAY 71 E STE 101
Practice Address - Street 2:
Practice Address - City:BASTROP
Practice Address - State:TX
Practice Address - Zip Code:78602-5159
Practice Address - Country:US
Practice Address - Phone:512-304-0300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1207592363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily