Doctor Name: | MISS DEOLIA DEANN BEELER |
NPI Number: | 1013198266 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMP |
License Number: | MA00024840 |
Business Practice Address: | 3561 Nw Anderson Hill Rd Silverdale, WA - 983839130 |
Business Phone Number: | 3606924264 |
Business Fax Number: | 3606924277 |
Mailing Address: | Po Box 1152, OLALLA |
State: | WA |
Postal Code: | 983591152 |
Phone Number: | 2532229319 |
Fax Number: | |
NPI Enumeration Date: | 11/15/2007 |
NPI Last Update Date: | 11/15/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | MA00024840 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |