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Individual

MRS. BETH ANN SEVERIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP-BC

Contact information

Practice address
2231 CATLIN AVE, SUPERIOR, WI 54880-5137
(715) 394-4117
Mailing address
1320 CENTRAL AVE, SUPERIOR, WI 54880-5912
(218) 393-1653

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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