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NPI Code Detail

MEDICARE: HEATHER RENEE BEYERS WHNP/PMHNP

MEDICARE: HEATHER RENEE BEYERS WHNP/PMHNP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner217706AK
2363LP0808XPsychiatric/Mental Health Nurse Practitioner209.013001IL
3363LX0001XObstetrics & Gynecology Nurse Practitioner209.013001IL

General Provider Information

NPI Number : 1962870790
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER RENEE BEYERS WHNP/PMHNP
Provider Business Mailing Address
First Line : PO BOX 752
Second Line :
City : SOLDOTNA
State : AK
Zip : 99669-0752
Country : US
Telephone Number : 217-827-3770
Fax Number :
Provider Business Practice Location Address
First Line : 502 LAKE ST
Second Line :
City : KENAI
State : AK
Zip : 99611-6937
Country : US
Telephone Number : 907-600-1684
Fax Number : 907-308-5882
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2015
Last Update Date : 02/06/2026

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