Individual
BEVERLY JOY LA MADRID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1969 W HART RD, BELOIT, WI 53511-2230
(608) 362-7444
Mailing address
3005 S RIVERSIDE DR STE 206, BELOIT, WI 53511-1500
(608) 362-7444
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R128766
MD
Other
Enumeration date
02/15/2011
Last updated
08/25/2020
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