| Doctor Name: | MARTHA BEEBE |
| NPI Number: | 1053504035 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 003648 |
| Business Practice Address: | 116 Washington Ave 2nd Floor North Haven, CT - 064731721 |
| Business Phone Number: | 2032349267 |
| Business Fax Number: | 2032341595 |
| Mailing Address: | 4 Farm Springs Rd, Prohealth Physicians FARMINGTON |
| State: | CT |
| Postal Code: | 060322573 |
| Phone Number: | 8602845200 |
| Fax Number: | 8602845333 |
| NPI Enumeration Date: | 08/22/2007 |
| NPI Last Update Date: | 08/23/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 003648 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |