BETHANY CERVENANSKY NPI 1619126919

NPI Information

NPI: 1619126919
Provider Name: BETHANY CERVENANSKY
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
6769 WINKLER RD
THREE LAKES, WI
ZIP 54562
Phone: (715) 546-3983
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Bethany Cervenansky is a licensed practical nurse in Three Lakes, WI. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Bethany Cervenansky NPI is 1619126919. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6769 WINKLER RD
THREE LAKES, WI
ZIP 54562-369
Phone: (715) 546-3983

The enumeration date for this NPI number is 9/11/2008 and was last updated on 9/11/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	164W00000X	Licensed Practical Nurse		310395-031	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	35068000	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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