Individual
DARCEY JO BEDWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP APNP
Contact information
Practice address
8325 S AVON STORE RD, BRODHEAD, WI 53520-9328
(608) 449-8207
Mailing address
8325 S AVON STORE RD, BRODHEAD, WI 53520-9328
(608) 449-8207
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
130017-030
WI
363LF0000X
Family Nurse Practitioner
Primary
6296-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100043556
—
WI
Enumeration date
03/04/2015
Last updated
09/09/2021
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