| Doctor Name: | MARIE A BERRY |
| NPI Number: | 1164473591 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APNP |
| License Number: | 67440-030 |
| Business Practice Address: | 705 S University Ave Ste 510 Beaver Dam, WI - 539163081 |
| Business Phone Number: | 9208873102 |
| Business Fax Number: | 9208858788 |
| Mailing Address: | 705 S University Ave, Ste 510 BEAVER DAM |
| State: | WI |
| Postal Code: | 539163081 |
| Phone Number: | 9208873102 |
| Fax Number: | 9208858788 |
| NPI Enumeration Date: | 05/12/2006 |
| NPI Last Update Date: | 05/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WD0400X |
| License Number: | 67440-030 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Diabetes Educator |
| Taxonomy Definition: | |