Individual
KAILIE BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANPN, FNP-C
Contact information
Practice address
1531 S MADISON ST, APPLETON, WI 54915-1800
(920) 738-2000
Mailing address
1740 13TH AVE, GREEN BAY, WI 54304-3717
(920) 321-6159
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
16455-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100372348
—
WI
Enumeration date
04/05/2025
Last updated
10/15/2025
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