Doctor Name: | RENEE F BEEN |
NPI Number: | 1306020524 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 308252 |
Business Practice Address: | 943 Hualapai Way Peach Springs, AZ - 86434 |
Business Phone Number: | 9287692900 |
Business Fax Number: | |
Mailing Address: | 943 Hualapai Way, Po Box 190 PEACH SPRINGS |
State: | AZ |
Postal Code: | 86434 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/24/2007 |
NPI Last Update Date: | 12/24/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP2201X |
License Number: | 308252 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Ambulatory Care |
Taxonomy Definition: |