Individual
WHITNEY BEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APNP, ACCNS-P
Contact information
Practice address
1675 HIGHLAND AVE RM P7125, MADISON, WI 53792-0002
(620) 290-2136
Mailing address
930 SKYLARK LN, DEFOREST, WI 53532-2922
(620) 290-2136
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
229951
WI
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
7614-33
WI
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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