Individual
BRIDGET E HARCUS-WICKERSHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APNP
Contact information
Practice address
1905 E HUEBBE PKWY, BELOIT HEALTH SYSTEM INC, BELOIT, WI 53511-1842
(608) 364-2240
(608) 363-7374
Mailing address
408 LAKEWOOD DR, BELOIT HEALTH SYSTEM INC., WILLIAMS BAY, WI 53191-9507
(262) 607-6399
(866) 616-0686
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2882-033
WI
363L00000X
Nurse Practitioner
Primary
2882-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005009876
ANCC
WI
05
—
36033500
—
WI
Enumeration date
09/22/2006
Last updated
03/13/2017
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