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NPI Code Detail

MEDICARE: BETH ANNE MAKI NP

MEDICARE: BETH ANNE MAKI NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse Practitioner109576030WI

General Provider Information

NPI Number : 1588666465
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETH ANNE MAKI NP
Provider Business Mailing Address
First Line : N106W15927 CREEK TER
Second Line :
City : GERMANTOWN
State : WI
Zip : 53022-4116
Country : US
Telephone Number : 414-566-3809
Fax Number : 414-566-3866
Provider Business Practice Location Address
First Line : 4855 S MOORLAND RD
Second Line :
City : NEW BERLIN
State : WI
Zip : 53151-7494
Country : US
Telephone Number : 262-432-7599
Fax Number : 262-432-7694
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2005
Last Update Date : 12/30/2024

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