Perry, Bethany N

Perry, Bethany N is an individual health care provider with primary practice located at 130 Corporate Dr , Beaver Dam WI 53916-3116. 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. Perry, Bethany N can be contacted via phone (920) 877-3102.

Contact Information

Primary practice address
130 Corporate Dr Beaver Dam WI 53916-3116
Phone: (920) 877-3102
Fax: (920) 855-8790
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6268-33 Wisconsin

Profile Details

NPI number 1770979650
LBN Legal business name Perry, Bethany N
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2015
Last updated Feb 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770979650 NPPES
Wisconsin MEDICAID 1770979650

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