Healthcare Provider Details

I. General information

NPI: 1639180391
Provider Name (Legal Business Name): MARIA A BEUG RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

USA MEDDAC EVANS ARMY COMMUNITY HOSP 7500 COCHRANE CIRCLE
FORT CARSON CO
80913-4604
US

IV. Provider business mailing address

1650 COCHRANE CIRCLE USA MEDDAC EVANS ARMY COMMUNITY HOSPITAL MCXE III
FORT CARSON CO
80913-4604
US

V. Phone/Fax

Practice location:
  • Phone: 719-526-7927
  • Fax: 719-526-7019
Mailing address:
  • Phone: 719-526-7649
  • Fax: 719-526-7019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number106998
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: