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NPI Code Detail

MEDICARE: TERRI LYNN BEAL

MEDICARE: TERRI LYNN BEAL
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
1163W00000XRegistered Nurse730378NY

General Provider Information

NPI Number : 1346753894
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRI LYNN BEAL
Provider Business Mailing Address
First Line : PO BOX 631
Second Line :
City : ORCHARD PARK
State : NY
Zip : 14127-0631
Country : US
Telephone Number : 716-662-2040
Fax Number : 716-662-0019
Provider Business Practice Location Address
First Line : 2412 SENECA ST
Second Line :
City : BUFFALO
State : NY
Zip : 14210-2662
Country : US
Telephone Number : 716-566-6507
Fax Number : 866-242-7286
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2017
Last Update Date : 08/06/2025

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Directions to “ TERRI LYNN BEAL ” Practice Location

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