Doctor Name: | MRS. BETH ANNE BEAMS |
NPI Number: | 1417389297 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-B.C. |
License Number: | 4704244197 |
Business Practice Address: | 901 Lakeshore Dr Ishpeming, MI - 498491367 |
Business Phone Number: | 9064852658 |
Business Fax Number: | 9064852726 |
Mailing Address: | 901 Lakeshore Dr, ISHPEMING |
State: | MI |
Postal Code: | 498491367 |
Phone Number: | 9064852683 |
Fax Number: | |
NPI Enumeration Date: | 08/05/2013 |
NPI Last Update Date: | 10/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 4704244197 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |