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BETHANY CERVENANSKY
NPI 1619126919
Licensed Practical Nurse in Three Lakes, WI

Active since September 11, 2008
6769 WINKLER RD, THREE LAKES, WI 54562(715) 546-3983 Get Directions Write a Review

NPPES record last updated: September 11, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Bethany Cervenansky NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETHANY CERVENANSKY (NPI 1619126919) is an individual licensed practical nurse in Three Lakes, Wisconsin, licensed in Wisconsin (310395-031) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1619126919
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameBETHANY CERVENANSKY
Location Address6769 WINKLER RDThree Lakes, WI 54562-9369
Mailing AddressPo Box 105Three Lakes, WI 54562-0105 · (715) 546-3983
Phone(715) 546-3983
Sole ProprietorYes
Enumeration DateSeptember 11, 2008
✔ NPI 1619126919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in WI · 310395-031
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
6769 WINKLER RD, Three Lakes, WI 54562
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Other Identifiers 1

Medicaid35068000WI

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bethany Cervenansky's NPI number?

The NPI number for Bethany Cervenansky is 1619126919. It was assigned to this individual provider in the NPPES registry on September 11, 2008.

Where is Bethany Cervenansky located?

Bethany Cervenansky practices at 6769 Winkler Rd, Three Lakes, WI 54562. The listed phone number is (715) 546-3983.

What is Bethany Cervenansky's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Bethany Cervenansky was last updated on September 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.