Individual
MRS. BETH ANN SEVERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
80782-030
WI
363LW0102X
Women's Health Nurse Practitioner
Primary
SEV1-0428-8081
WI
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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