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NPI Code Detail

MEDICARE: MRS. MELISSA LAUREN BEANS CRNP

MEDICARE: MRS. MELISSA LAUREN BEANS CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse PractitionerSP016553PA

General Provider Information

NPI Number : 1205384989
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELISSA LAUREN BEANS CRNP
Provider Business Mailing Address
First Line : 847 EASTON ROAD
Second Line : SUITE 2700
City : WARRINGTON
State : PA
Zip : 18976-2909
Country : US
Telephone Number : 215-345-0105
Fax Number : 215-345-0562
Provider Business Practice Location Address
First Line : 847 EASTON ROAD
Second Line : SUITE 2700
City : WARRINGTON
State : PA
Zip : 18976-2909
Country : US
Telephone Number : 215-345-0105
Fax Number : 215-345-0562
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2016
Last Update Date : 01/05/2026

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