Organization
BEACON NURSING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA TIDWELL RN (CHIEF NURSING OFFICER)
(262) 723-1758
Entity
Organization
Contact information
Practice address
W5440 ELKHORN DR, ELKHORN, WI 53121-3038
(262) 215-1612
Mailing address
W5440 ELKHORN DR, ELKHORN, WI 53121-3038
(262) 215-1612
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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