National Provider Identifier Database

MARIE A BERRY, APNP – NPI #1164473591
Nurse Practitioner

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.


Contact Information

MARIE A BERRY, APNP
705 S UNIVERSITY AVE
STE 510
BEAVER DAM, WI53916-3081
Phone: 920-887-3102
Fax: 920-885-8788
Website:
Specialty Taxonomy Code
* Nurse Practitioner 363L00000X
Diabetes Educator 163WD0400X

* Indicates primary specialty

NPI Profile & details for MARIE A BERRY

NPI Number 1164473591
Credentials APNP
Entity Individual
Enumeration date 05/12/2006
Last updated 05/02/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • WI License #: 67440-030
  • WI License #: 8-033
  • WI Medicaid: 43823400
  • WI Other: 4288 DEAN HEALTH INSURANCE
  • WI Other: 2006175 PHYSICIANS PLUS
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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