Individual
BETSY BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3100
(414) 259-1145
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3100
(414) 259-1145
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
8811
WI
363LW0102X
Women's Health Nurse Practitioner
8811-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447727128
—
WI
Enumeration date
10/31/2018
Last updated
04/01/2021
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