Marie A Berry in Beaver Dam - Diabetes Educator
Marie A Berry - NPI 1164473591
Marie A Berry is a Diabetes Educator in Beaver Dam, Wisconsin. Marie A Berry practices all healthcare services and medical treatments related to Diabetes Educator. The NPI Number for Marie A Berry is 1164473591. The last update date is 2008-05-02.
Marie A Berry's current location address is 705 S University Ave, Beaver Dam, Wisconsin. You can contact this provider via phone number 9208873102 and fax number 9208858788. The mailing address for Marie A Berry is 705 S University Ave, Beaver Dam, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marie A Berry |
|---|---|
| Address | 705 S University Ave, Beaver Dam, Wisconsin |
| Phone Number | 9208873102 |
| Fax Number | 9208858788 |
| Sole Proprietor | N |
| Credentials | APNP |
NPI Number Detail
| NPI Number | 1164473591 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2008-05-02 |
Provider Mailing Address Detail
| Address | 705 S University Ave |
|---|---|
| City | Beaver Dam |
| State | Wisconsin (WI) |
| Post Code | 539163081 |
| Phone Number | 9208873102 |
| Fax Number | 9208858788 |
Provider's Primary Taxonomy Detail
| Speciality | Diabetes Educator |
|---|---|
| Taxonomy | 163Wd0400X |
| Licence No | 67440-030 |
|
Definition: A registered nurse who teaches diabetes self-management skills. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4288 | WI | DEAN HEALTH INSURANCE | |
| 2006175 | WI | PHYSICIANS PLUS | |
| 43823400 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Marie A Berry by the Centers for Medicare & Medicaid Services?
The Marie A Berry has been issued the NPI (National Provider Identifier) 1164473591. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Marie A Berry is located?
The Marie A Berry is situated at the following address: 705 S University Ave, Beaver Dam, WI, 539163081.
What is Marie A Berry's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Marie A Berry is Diabetes Educator, and the taxonomy code that categorizes this field of expertise is 163Wd0400X.
When did Marie A Berry receive its 1164473591 assignment?
The Marie A Berry was assigned its 1164473591 on 2006-05-12, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Marie A Berry last refreshed?
The information related to the Marie A Berry, including its address, specialty, and other relevant details, was last updated on 2008-05-02.