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NPI Code Detail

MEDICARE: SARA T BEACHY RN CNP

MEDICARE:   SARA T BEACHY  RN 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
1363L00000XNurse Practitioner4704247923MI
2363LF0000XFamily Nurse PractitionerSP009945PA

General Provider Information

NPI Number : 1851472146
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA T BEACHY RN CNP
Provider Business Mailing Address
First Line : 350 BARBARA ST
Second Line :
City : LANDISVILLE
State : PA
Zip : 17538-1718
Country : US
Telephone Number : 717-517-4763
Fax Number :
Provider Business Practice Location Address
First Line : 350 BARBARA ST
Second Line :
City : LANDISVILLE
State : PA
Zip : 17538-1718
Country : US
Telephone Number : 717-517-4763
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 11/23/2009

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