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Individual
BETH CLEMENTS
Active
Individual
BETH CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
220479-30
WI
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
220479-30
WI
163WP2201X
Ambulatory Care Registered Nurse
Primary
220479-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003150004
—
WI
Enumeration date
10/11/2018
Last updated
04/13/2026
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