Betsy Hermus
Individual provider Active NPI Registered Nurse · Little Chute, WI
NPI 1972044808 · NPPES record last updated Mar 11, 2017
Key facts
- NPI
- 1972044808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 102359 (WI)
- Practice address
- 2501 W Main St
Little Chute, WI 54911-4147 - Phone
- (920) 716-3996
- NPI assigned
- Mar 11, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102359 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 102359 | WI | Yes |
Addresses
Primary practice location
2501 W Main St
Little Chute, WI 54911-4147
Mailing address
2501 W Main St
Little Chute, WI 54911-4147
Phone (920) 716-3996
Other providers in Little Chute, WI
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- Brieanna M Haroldson
- Lisa Hartjes
- Michael J Heidtman
- Christina A Heindl
- Emily E Hietpas
- Kelsey Hietpas
- Tyler J Hietpas
- Isabelle Holdridge
- Adam Matthias Hunt
All providers in Little Chute, 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 Mar 11, 2017. 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.