Individual
COURTNEY R BEAUDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2020 RIVERSIDE DR STE 200, GREEN BAY, WI 54301-2300
(920) 433-9920
(920) 433-9927
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7238
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4439-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F0611063
AMERICAN ACADEMY OF NURSE PRACTITIONERS
—
Enumeration date
07/19/2011
Last updated
12/23/2021
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