| Doctor Name: | MRS. SADINA LYNN BRECHEISEN-BEACH |
| NPI Number: | 1831182047 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | WHNP |
| License Number: | 0000127745 |
| Business Practice Address: | 90 Hope Dr Bldg 6000 Mountain Home A F B, ID - 836481057 |
| Business Phone Number: | 2088287577 |
| Business Fax Number: | |
| Mailing Address: | 15746 W Vernon Ave, GOODYEAR |
| State: | AZ |
| Postal Code: | 853957535 |
| Phone Number: | 2085992859 |
| Fax Number: | |
| NPI Enumeration Date: | 08/24/2005 |
| NPI Last Update Date: | 10/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 0000127745 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |