Individual
BETH A GOETZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2820 ROOSEVELT ROAD, MARINETTE, WI 54143-3834
(715) 735-5225
(715) 735-5388
Mailing address
PO BOX 1866, GREEN BAY, WI 54305-1866
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
382033
WI
363LF0000X
Family Nurse Practitioner
Primary
382-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43824100
—
WI
01
—
4825080008
MEDICARE DME
WI
Enumeration date
09/30/2005
Last updated
09/16/2019
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