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
II. Dates (important events)
Enumeration Date: 02/21/2018
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
307 OGDEN AVE BELOIT HEALTH SYSTEM
CLINTON WI
53525
US
IV. Provider business mailing address
1905 E HUEBBE PKWY
BELOIT WI
53511-1842
US
V. Phone/Fax
- Phone: 608-676-2206
- Fax: 608-676-4029
- Phone: 608-364-2400
- Fax: 608-676-4029
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 209.018039 |
| License Number State | IL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 824333 |
| License Number State | WI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: