| Doctor Name: | MS. MIRANDA KATE BEASON |
| NPI Number: | 1912003716 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD |
| License Number: | 00934419 |
| Business Practice Address: | 448 E 1st St Salida, CO - 812012804 |
| Business Phone Number: | 7195302293 |
| Business Fax Number: | 7195302232 |
| Mailing Address: | Po Box 616, PONCHA SPRINGS |
| State: | CO |
| Postal Code: | 812420616 |
| Phone Number: | 7195302293 |
| Fax Number: | 7195302232 |
| NPI Enumeration Date: | 09/16/2006 |
| NPI Last Update Date: | 04/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 00934419 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |