Healthcare Provider Details

I. General information

NPI: 1821904814
Provider Name (Legal Business Name): ANGELA KRISTINE BECK BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 HOSFORD ST STE 203
HUDSON WI
54016-9316
US

IV. Provider business mailing address

1049 MOONGLOW RD
HUDSON WI
54016-7322
US

V. Phone/Fax

Practice location:
  • Phone: 715-425-6443
  • Fax:
Mailing address:
  • Phone: 715-425-6443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number1112765-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: