Doctor Name: | MRS. CONCEPTION CONNIE BEIRO |
NPI Number: | 1114206042 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NNP |
License Number: | 4079-33 |
Business Practice Address: | 3917 West Rd Los Alamos, NM - 875442275 |
Business Phone Number: | 5056619355 |
Business Fax Number: | |
Mailing Address: | 3917 West Rd, LOS ALAMOS |
State: | NM |
Postal Code: | 875442275 |
Phone Number: | 9135307783 |
Fax Number: | |
NPI Enumeration Date: | 08/09/2011 |
NPI Last Update Date: | 02/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LN0005X |
License Number: | 4079-33 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Neonatal, Critical Care |
Taxonomy Definition: |