Individual
MS. BEVERLY ANN MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12 BROMPTON CIR, MADISON, WI 53711-4003
(608) 274-6891
Mailing address
12 BROMPTON CIR, MADISON, WI 53711-4003
(608) 274-6891
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
25360-031
WI
Other
Enumeration date
05/12/2008
Last updated
05/12/2008
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