Individual
KATIE VANBECKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
248 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 767-6000
Mailing address
7750 MARTHA CIR, WATERFORD, WI 53185-2039
(262) 220-1170
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11356-33
WI
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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