Individual
BRENDA SUSAN BEUTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
15 PLEASANT ST, AU SABLE FORKS, NY 12912
(518) 647-8164
Mailing address
1302 CHARLESGATE CIR, EAST AMHERST, NY 14051-1285
(716) 909-1560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F343313-1
NY
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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