Beaudette, Courtney R
Beaudette, Courtney R is an individual health care provider with primary practice located at 2020 Riverside Dr Ste 200 , Green Bay WI 54301-2300. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Beaudette, Courtney R can be contacted via phone (920) 433-9920.Contact Information
Primary practice address
2020 Riverside Dr Ste 200
Green Bay WI 54301-2300
Phone: (920) 433-9920
Fax: (920) 433-9927
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4439-33 | Wisconsin |
Profile Details
| NPI number | 1750679114 |
|---|---|
| LBN Legal business name | Beaudette, Courtney R |
| Credentials | APNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2011 |
| Last updated | Dec 23rd, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750679114 | NPPES |
| Other | F0611063 | AMERICAN ACADEMY OF NURSE PRACTITIONERS |
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