Individual
BETTY WAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2357 W MASON ST, GREEN BAY, WI 54303-4708
(920) 337-6740
Mailing address
2357 W MASON ST, GREEN BAY, WI 54303-4708
(920) 337-6740
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
321460-31
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42030700
—
WI
Enumeration date
02/23/2022
Last updated
02/23/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us