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Individual
THEA BEYER
Active
Individual
THEA BEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, CPNP, RN
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
2465896
MN
163WN0002X
Neonatal Intensive Care Registered Nurse
R050996
SD
363LP0200X
Pediatric Nurse Practitioner
Primary
CP002999
SD
Other
Enumeration date
07/31/2023
Last updated
07/12/2024
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