Healthcare Provider Details

I. General information

NPI: 1326942731
Provider Name (Legal Business Name): DENISE D BEALS MSN RN IBCLC RNC-MNN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25004 PAPPAS RD
RAMONA CA
92065-4920
US

IV. Provider business mailing address

25004 PAPPAS RD
RAMONA CA
92065-4920
US

V. Phone/Fax

Practice location:
  • Phone: 619-884-3364
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number535658
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number535658
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: