Laurie A Beach in Pilot Grove - Nurse Practitioner
Laurie A Beach - NPI 1780808675
Laurie A Beach is a Nurse Practitioner in Pilot Grove, Missouri. Laurie A Beach practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Laurie A Beach is 1780808675. The last update date is 2009-02-12.
Laurie A Beach's current location address is 212 College St, Pilot Grove, Missouri. You can contact this provider via phone number 6608345100 and fax number 6608345101. The mailing address for Laurie A Beach is 212 College St, Pilot Grove, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Laurie A Beach |
|---|---|
| Address | 212 College St, Pilot Grove, Missouri |
| Phone Number | 6608345100 |
| Fax Number | 6608345101 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Beach A Laurie |
| Credentials | FNP |
| Telephone Number | 6608345100 |
NPI Number Detail
| NPI Number | 1780808675 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2009-02-12 |
Provider Mailing Address Detail
| Address | 212 College St |
|---|---|
| City | Pilot Grove |
| State | Missouri (MO) |
| Post Code | 652761005 |
| Phone Number | 6608345100 |
| Fax Number | 6608345101 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14600 | MO | MEDICARE PART B |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Laurie A Beach by the Centers for Medicare & Medicaid Services?
The Laurie A Beach has been issued the NPI (National Provider Identifier) 1780808675, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Laurie A Beach located?
The Laurie A Beach is located at 212 College St, Pilot Grove, MO 652761005.
What is the Laurie A Beach's specialty and taxonomy code?
The Laurie A Beach's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1780808675 to Laurie A Beach?
The Centers for Medicare & Medicaid Services assigned the 1780808675 to Laurie A Beach on 2007-04-12.
When was the information regarding Laurie A Beach, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Laurie A Beach, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-02-12.
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