Individual
BECKY AUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1405 MILL ST, NEW LONDON, WI 54961-2155
(920) 531-2400
Mailing address
1405 MILL ST, NEW LONDON, WI 54961-2155
(920) 531-2400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14119
WI
Other
Enumeration date
06/21/2023
Last updated
08/01/2023
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