Individual
BETH LUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP, CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
158985-30
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
18610-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104644707
—
WI
Enumeration date
10/01/2024
Last updated
08/19/2026
Update your record
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