Provider Demographics
NPI:1023906393
Name:PIERRINGER, BETHANY LAUREN (APNP)
Entity type:Individual
Prefix:
First Name:BETHANY
Middle Name:LAUREN
Last Name:PIERRINGER
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 JEFFERSON DR
Mailing Address - Street 2:
Mailing Address - City:KEWASKUM
Mailing Address - State:WI
Mailing Address - Zip Code:53040-9199
Mailing Address - Country:US
Mailing Address - Phone:501-680-4987
Mailing Address - Fax:
Practice Address - Street 1:520 JEFFERSON DR
Practice Address - Street 2:
Practice Address - City:KEWASKUM
Practice Address - State:WI
Practice Address - Zip Code:53040-9199
Practice Address - Country:US
Practice Address - Phone:501-680-4987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI16973-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily