Individual
SARA JAYNE BEKKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-8323
(262) 948-7000
Mailing address
10400 75TH ST, KENOSHA, WI 53142-8323
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041451591
IL
163W00000X
Registered Nurse
22898130
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
127017
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100221952
—
WI
Enumeration date
09/21/2022
Last updated
09/10/2024
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