BETHANY PANKRATZ MA NPI 1093461436

NPI Information

NPI: 1093461436
Provider Name: BETHANY PANKRATZ, MA
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
821 E 1ST AVE STE 5
APPLETON, WI
ZIP 54911
Phone: (920) 659-0180
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Bethany Pankratz, MA is a professional counselor in Appleton, WI. Bethany Pankratz, MA NPI is 1093461436. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

821 E 1ST AVE STE 5
APPLETON, WI
ZIP 54911-586
Phone: (920) 659-0180

The enumeration date for this NPI number is 2/24/2022 and was last updated on 2/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	5244-226	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	85-1521984	OTHER	WISCONSIN	IRS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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