Individual provider · Type 1 NPI

Mary M. Beatty-Roloff, APNP

Nurse Practitioner · Waupaca, WI

NPI number 1053505362 Active

Practice location

N2919 Cty Hwy Qq
Waupaca, WI 54981

Fax (715) 942-2199

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X3195 (WI)
Nurse Practitioner 363L00000X3195-033 (WI)
Registered Nurse 163W00000X107505-030 (WI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1053505362

Mary M. Beatty-Roloff, APNP's National Provider Identifier is 1053505362, issued on Aug 29, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Waupaca, WI. The record was last updated on Aug 26, 2013.