Individual
BETHANY WEEDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
8520 S BEDFORD WAY, OAK CREEK, WI 53154-2671
(414) 761-1318
Mailing address
8520 S BEDFORD WAY, OAK CREEK, WI 53154-2671
(414) 761-1318
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
144584-030
WI
Other
Enumeration date
06/04/2009
Last updated
06/04/2009
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