Individual
DR. HEATHER JEAN BEVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APNP, FNP-C
Contact information
Practice address
1630 COMMANCHE AVE, GREEN BAY, WI 54313-5753
(920) 430-4585
(920) 430-4569
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7226
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
194220-30
WI
363LF0000X
Family Nurse Practitioner
Primary
9389-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F06193049
AMERICAN ACADEMY OF NURSE PRACTITIONERS
—
Enumeration date
09/01/2019
Last updated
11/01/2021
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