Beaumont, Bernadette

Beaumont, Bernadette is an individual health care provider with primary practice located at 10101 W Wisconsin Ave , Wauwatosa WI 53226-4861. 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. Beaumont, Bernadette can be contacted via phone (414) 454-8460.

Contact Information

Primary practice address
10101 W Wisconsin Ave Wauwatosa WI 53226-4861
Phone: (414) 454-8460
Fax: (414) 454-8459
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4497 Wisconsin

Profile Details

NPI number 1851670343
LBN Legal business name Beaumont, Bernadette
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2011
Last updated Sep 5th, 2022 - about 2 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 1851670343 NPPES
Wisconsin MEDICAID 1851670343

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