Doctor Name: | EILEEN BEALE |
NPI Number: | 1679977276 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | R158233 |
Business Practice Address: | 9 Schilling Rd Suite 102 Hunt Valley, MD - 210311191 |
Business Phone Number: | 4107719229 |
Business Fax Number: | |
Mailing Address: | 9 Schilling Rd, Suite 102 HUNT VALLEY |
State: | MD |
Postal Code: | 210311191 |
Phone Number: | 4107719229 |
Fax Number: | |
NPI Enumeration Date: | 10/10/2014 |
NPI Last Update Date: | 10/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R158233 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |