Individual
MR. MICHAEL D. BEACH
Active
Individual
MR. MICHAEL D. BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN.CNP.06674
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
VP007013M
PA
363LP0200X
Pediatric Nurse Practitioner
SP008614
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN342536L
REG NURSE
PA
Enumeration date
07/21/2005
Last updated
02/03/2017
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