Healthcare Provider Details

I. General information

NPI: 1205426921
Provider Name (Legal Business Name): SUZANNE HOLLEN BEELS MSN, RN, AGCNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2021
Last Update Date: 01/26/2021
Certification Date: 01/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1906 BELLEVIEW AVE SE FL 6
ROANOKE VA
24014-1838
US

IV. Provider business mailing address

1906 BELLEVIEW AVE SE FL 6
ROANOKE VA
24014-1838
US

V. Phone/Fax

Practice location:
  • Phone: 540-598-0356
  • Fax:
Mailing address:
  • Phone: 540-598-0356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2100X
TaxonomyAcute Care Clinical Nurse Specialist
License Number0015001082
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: