MEDICARE: PATRICE ANN BEUC

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	347C00000X	Private Vehicle

General Provider Information

NPI Number	:	1386503407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICE ANN BEUC

Provider Business Mailing Address
First Line	:	5101 BOARSHEAD RD APT 303
Second Line	:
City	:	MINNETONKA
State	:	MN
Zip	:	55345-4058
Country	:	US
Telephone Number	:	612-272-9633
Fax Number	:

Provider Business Practice Location Address
First Line	:	5101 BOARSHEAD RD APT 303
Second Line	:
City	:	MINNETONKA
State	:	MN
Zip	:	55345-4058
Country	:	US
Telephone Number	:	612-272-9633
Fax Number	:

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

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	01/16/2026

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Directions to “ PATRICE ANN BEUC ” Practice Location

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