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General NPI Number Information
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NPI Number | 1659900389
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Entity Type | Individual
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Provider Name | ALEXANDRA MARIA BEATTIE NP
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Gender | Female
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Dates
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Enumeration Date | 04/04/2020
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 700 W IRONWOOD DR STE 155
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City | COEUR D ALENE
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State | ID
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Zip | 83814-4462
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Country | US
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Telephone | 208-667-0585
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Fax | 208-625-2075
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Provider Business Mailing Address
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Address Line | 306 E RAILROAD AVE # D102
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City | POST FALLS
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State | ID
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Zip | 83854-1015
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Country | US
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Telephone | 208-667-0585
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Fax | 208-625-2075
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 3771963
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP95020961
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN95166137
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License Number State | CA
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