Individual provider · Type 1 NPI
Alexa R. Beversdorf
Pediatric Nurse Practitioner · Madison, WI
NPI number
1043862790
Active
Practice location
600 Highland Ave
Madison, WI 53792-0001
Mailing address
7974 Uw Health Ct
Middleton, WI 53562-5531
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 9482 (WI) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 9482 (WI) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1043862790
Alexa R. Beversdorf's National Provider Identifier is 1043862790, issued on Jul 12, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Madison, WI. The record was last updated on Jan 13, 2021.