Doctor Name: | RENEE D. BEYER |
NPI Number: | 1700225737 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | AP07373 |
Business Practice Address: | 402 N Vaughan St Brusly, LA - 707192225 |
Business Phone Number: | 2257492645 |
Business Fax Number: | |
Mailing Address: | Po Box 4869, Dept: 235 HOUSTON |
State: | TX |
Postal Code: | 772104869 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/24/2013 |
NPI Last Update Date: | 07/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP07373 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |