Individual
MRS. HEATHER MARIE BEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2520 44TH AVE, KENOSHA, WI 53144-1352
(262) 764-4590
Mailing address
2520 44TH AVE, KENOSHA, WI 53144-1352
(262) 764-4590
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35041800
—
WI
Enumeration date
11/01/2007
Last updated
11/01/2007
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