| Doctor Name: | PATRICIA SULLIVAN BEAUCHAMP |
| NPI Number: | 1083052914 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | R100450 |
| Business Practice Address: | 6040 Public Landing Rd Snow Hill, MD - 218632453 |
| Business Phone Number: | 4106321100 |
| Business Fax Number: | 4106320906 |
| Mailing Address: | Po Box 249, SNOW HILL |
| State: | MD |
| Postal Code: | 218630249 |
| Phone Number: | 4106321100 |
| Fax Number: | 4106322476 |
| NPI Enumeration Date: | 06/13/2013 |
| NPI Last Update Date: | 06/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | R100450 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |