Berry, Marie A

Berry, Marie A is an individual health care provider with primary practice located at 705 S University Ave Ste 510, Beaver Dam WI 53916-3081. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Diabetes Educator, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Berry, Marie A can be contacted via phone (920) 887-3102.

Contact Information

Primary practice address
705 S University Ave Ste 510 Beaver Dam WI 53916-3081
Phone: (920) 887-3102
Fax: (920) 885-8788
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X 67440-030 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 8-033 Wisconsin

Profile Details

NPI number 1164473591
LBN Legal business name Berry, Marie A
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated May 2nd, 2008 - about 16 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 1164473591 NPPES
Wisconsin Other 4288 DEAN HEALTH INSURANCE
Wisconsin Other 2006175 DEAN HEALTH INSURANCE
Wisconsin MEDICAID 43823400 DEAN HEALTH INSURANCE

Popular Providers