Bette J Pedretti, NP
Individual provider Active NPI Adult Health Nurse Practitioner · La Crosse, WI
NPI 1982608337 · NPPES record last updated Apr 28, 2009
Key facts
- NPI
- 1982608337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 2128 (WI)
- Practice address
- 1836 South Ave
La Crosse, WI 54601-5429 - Phone
- (608) 782-7300
- NPI assigned
- Jun 13, 2005
- 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)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2128 | WI | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 2128 | WI | Yes |
Addresses
Primary practice location
1836 South Ave
La Crosse, WI 54601-5429
Mailing address
1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43981300 | Medicaid | WI |
Other providers in La Crosse, WI
- Connor Pedersen
- Anders Bjorn Pederson
- Jacob Matthew Pederson
- Marissa Pederson
- Susan Marie Pederson
- Tanya Lynn Pedretti
- Danielle Peeso-Shepard
- Alexandra Pehling
- Gregory B Pehling
- Anna Marie Pejsa
All providers in La Crosse, WI · Adult Health Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2009. 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.