Beard, Heather Marie

Beard, Heather Marie is an sole proprietor health care provider with primary practice located at 2520 44Th Ave , Kenosha WI 53144-1352. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Beard, Heather Marie can be contacted via phone (262) 764-4590.

Contact Information

Primary practice address
2520 44Th Ave Kenosha WI 53144-1352
Phone: (262) 764-4590
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X Wisconsin

Profile Details

NPI number 1023297439
LBN Legal business name Beard, Heather Marie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2007
Last updated Nov 1st, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1023297439 NPPES
Wisconsin MEDICAID 35041800

Popular Providers