Individual
BETHANY N PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
130 CORPORATE DR, BEAVER DAM, WI 53916-3116
(920) 877-3102
(920) 855-8790
Mailing address
130 CORPORATE DR, BEAVER DAM, WI 53916-3116
(920) 877-3102
(920) 855-8790
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6268-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770979650
—
WI
Enumeration date
04/08/2015
Last updated
02/11/2021
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