Besaw, Angela M
Besaw, Angela M is an individual health care provider with primary practice located at Beloit Health System Uw Cancer Center 1670 Lee Lane, Beloit WI 53511-3935. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Besaw, Angela M can be contacted via phone (608) 364-5253.Contact Information
Primary practice address
Beloit Health System Uw Cancer Center 1670 Lee Lane
Beloit WI 53511-3935
Phone: (608) 364-5253
Fax: (608) 364-5252
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 111407-030 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 3625-33 | Wisconsin |
Profile Details
| NPI number | 1508016817 |
|---|---|
| LBN Legal business name | Besaw, Angela M |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2008 |
| Last updated | Mar 16th, 2021 - about 5 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 | 1508016817 | NPPES |
| Wisconsin | MEDICAID | 36094700 |
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