Doctor Name: | MRS. ANN ELIZABETH BEAUCHAMP |
NPI Number: | 1023296019 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP010284 |
Business Practice Address: | 24 N Walnut St Hagerstown, MD - 217404738 |
Business Phone Number: | 3017453777 |
Business Fax Number: | |
Mailing Address: | 24 N Walnut St, HAGERSTOWN |
State: | MD |
Postal Code: | 217404738 |
Phone Number: | 3017453777 |
Fax Number: | |
NPI Enumeration Date: | 02/01/2008 |
NPI Last Update Date: | 01/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP010284 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |