Provider Demographics
NPI:1558080903
Name:BEECROFT, KATHRYN (APNP)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:BEECROFT
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:
Other - Last Name:GARIBALDI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1110 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:WI
Mailing Address - Zip Code:54829-9138
Mailing Address - Country:US
Mailing Address - Phone:715-822-7200
Mailing Address - Fax:715-822-7221
Practice Address - Street 1:1110 7TH AVE
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:WI
Practice Address - Zip Code:54829-9138
Practice Address - Country:US
Practice Address - Phone:715-822-7200
Practice Address - Fax:715-822-7221
Is Sole Proprietor?:No
Enumeration Date:2022-08-26
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI12143363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily