Healthcare Provider Details

I. General information

NPI: 1942358494
Provider Name (Legal Business Name): DARLENE COLLINS BECK APNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4655 N PORT WASHINGTON RD STE 325
GLENDALE WI
53212-1000
US

IV. Provider business mailing address

PO BOX 250953
MILWAUKEE WI
53225-6518
US

V. Phone/Fax

Practice location:
  • Phone: 414-999-1099
  • Fax: 414-999-0699
Mailing address:
  • Phone: 414-550-6895
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number7043-33
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number7043-33
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number7043-33
License Number StateWI
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number159799-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: