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Individual

BERNADETTE BEAUMONT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
10101 W WISCONSIN AVE, WAUWATOSA, WI 53226-4861
(414) 454-8460
(414) 454-8459
Mailing address
4844 S HAWTHORNE DR, NEW BERLIN, WI 53151-7677
(414) 739-6008
(940) 301-3839

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4497
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1851670343
WI
Enumeration date
08/15/2011
Last updated
09/05/2022
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