Doctor Name: | GENNI BLAINE LEHNERT BEERS |
NPI Number: | 1477980530 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 201392973NP-PP |
Business Practice Address: | 4102 Pinion Dr Usaf Academy, CO - 808402502 |
Business Phone Number: | 7193335260 |
Business Fax Number: | |
Mailing Address: | 6536 Forest Thorn Ct, COLORADO SPRINGS |
State: | CO |
Postal Code: | 809274094 |
Phone Number: | 5413109131 |
Fax Number: | |
NPI Enumeration Date: | 10/03/2013 |
NPI Last Update Date: | 01/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 201392973NP-PP |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |