Healthcare Provider Details

I. General information

NPI: 1871093393
Provider Name (Legal Business Name): BETSY RUTH AHRENS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BETSY RUTH PRESS NP, JD

II. Dates (important events)

Enumeration Date: 02/21/2018
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 OGDEN AVE BELOIT HEALTH SYSTEM
CLINTON WI
53525
US

IV. Provider business mailing address

307 OGDEN AVE BELOIT HEALTH SYSTEM
CLINTON WI
53525
US

V. Phone/Fax

Practice location:
  • Phone: 608-676-2206
  • Fax: 608-676-4029
Mailing address:
  • Phone: 608-676-2206
  • Fax: 608-676-4029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number209.018039
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number824333
License Number StateWI
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number8243-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: