Doctor Name: | DEBRA ANN BEATTY |
NPI Number: | 1063807907 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 615967 |
Business Practice Address: | 22349 La Palma Ave Suite 117 Yorba Linda, CA - 928873823 |
Business Phone Number: | 7146029910 |
Business Fax Number: | 7146027150 |
Mailing Address: | 22349 La Palma Ave, Suite 117 YORBA LINDA |
State: | CA |
Postal Code: | 928873823 |
Phone Number: | 7142690765 |
Fax Number: | |
NPI Enumeration Date: | 03/30/2015 |
NPI Last Update Date: | 03/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WA0400X |
License Number: | 615967 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |