MEDICARE: ANNE M BEIGHLEY APRN, CNP

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	363LF0000X	Family Nurse Practitioner	2930	MN

General Provider Information

NPI Number	:	1306155817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE M BEIGHLEY APRN, CNP

Provider Business Mailing Address
First Line	:	318 1ST AVE SW
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55902-3310
Country	:	US
Telephone Number	:	507-292-7250
Fax Number	:

Provider Business Practice Location Address
First Line	:	318 1ST AVE SW
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55902-3310
Country	:	US
Telephone Number	:	507-292-7250
Fax Number	:

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

Provider Enumeration Date	:	09/30/2010
Last Update Date	:	10/29/2024

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