MEDICARE: ANNIKA ELSA BEISHLINE RN

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
1	163WS0200X	School Registered Nurse	307322	AZ

General Provider Information

NPI Number	:	1164359584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNIKA ELSA BEISHLINE RN

Provider Business Mailing Address
First Line	:	4316 E CAROL ANN LN
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-4127
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4316 E CAROL ANN LN
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-4127
Country	:	US
Telephone Number	:	480-842-6946
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2026
Last Update Date	:	05/07/2026

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