Beverly C. Pippert, RN
Individual provider Active NPI Registered Nurse · Oostburg, WI
NPI 1346407236 · NPPES record last updated May 20, 2008
Key facts
- NPI
- 1346407236
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 105409-030 (WI)
- Practice address
- W1243 Town Line Rd
Oostburg, WI 53070-1908 - Phone
- (920) 564-3550
- NPI assigned
- May 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105409-030 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 105409-030 | WI | Yes |
Addresses
Primary practice location
W1243 Town Line Rd
Oostburg, WI 53070-1908
Mailing address
W1243 Town Line Rd
Oostburg, WI 53070-1908
Phone (920) 564-3550
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35056300 | Medicaid | WI |
Other providers in Oostburg, WI
- Laura Dolfin Nutrition Consulting LLC
- Jordan Donald Molter
- Mary Ann Moriarity
- John Tyus O'Dell
- Oostburg Family Dentistry, L.L.C
- Lara Speranza Lazarre Ries
- Rebecca J Rose
- Kari Rothe
- School District of Oostburg
- St Nicholas Hospital-Hospital Sisters of the Third Order of St Francis
All providers in Oostburg, WI · Registered Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.