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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 Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Diabetes Educator

163WD0400X
Indicates primary specialty

NPI Profile & details for MARIE A BERRY · (Female)

NPI # 1164473591
Status Active
Credentials APNP
Entity Individual
Enumeration date 05/12/2006
Last updated 05/02/2008 - About 18 years ago
Sole proprietor 1 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(s) Not Available
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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