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NPI Code Detail

MEDICARE: MRS. KAREN PHILLIPS BEETS F.N.P.

MEDICARE: MRS. KAREN PHILLIPS BEETS F.N.P.
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
1363LF0000XFamily Nurse Practitioner0000006290TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457470015
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KAREN PHILLIPS BEETS F.N.P.
Provider Business Mailing Address
First Line : PO BOX 565
Second Line :
City : MAYNARDVILLE
State : TN
Zip : 37807-0565
Country : US
Telephone Number : 865-992-3031
Fax Number : 865-992-8103
Provider Business Practice Location Address
First Line : 7701 CORRYTON RD
Second Line :
City : CORRYTON
State : TN
Zip : 37721-2630
Country : US
Telephone Number : 865-247-6263
Fax Number : 865-992-8103
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2007
Last Update Date : 12/27/2016

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