Individual
BEVERLY A STIEMKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
W1136 SUNNYSIDE DR, SULLIVAN, WI 53178-9737
(262) 593-5625
Mailing address
W1136 SUNNYSIDE DR, SULLIVAN, WI 53178-9737
(262) 593-5625
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
161559030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38240300
—
WI
Enumeration date
09/01/2006
Last updated
08/25/2008
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