| Doctor Name: | CHANDA DACAYANA BEATY |
| NPI Number: | 1518221670 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | RN266523 |
| Business Practice Address: | 923 Route 6a Building 7 Apex Health Yarmouthport, MA - 02675 |
| Business Phone Number: | 5083625999 |
| Business Fax Number: | 5083625901 |
| Mailing Address: | 923 Route 6a, Building 7 Apex Health YARMOUTHPORT |
| State: | MA |
| Postal Code: | 02675 |
| Phone Number: | 5083625999 |
| Fax Number: | 5083625901 |
| NPI Enumeration Date: | 07/03/2012 |
| NPI Last Update Date: | 07/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | RN266523 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |