Individual
BETHANY HASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI 53215-3669
(414) 649-3920
(414) 646-8975
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13099
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100226875
—
WI
Enumeration date
06/27/2022
Last updated
02/09/2026
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