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Individual

MRS. CATHY A BECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, ACNP-BC

Contact information

Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-7000
Mailing address
5409 PLEASANT VIEW LN, WATERFORD, WI 53185-2943
(414) 550-8023

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3481
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100002285
WI
Enumeration date
01/23/2007
Last updated
08/27/2024
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