Individual
MRS. ANN ELIZABETH BEAUCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
24 N WALNUT ST, HAGERSTOWN, MD 21740-4738
(301) 745-3777
Mailing address
24 N WALNUT ST, HAGERSTOWN, MD 21740-4738
(301) 745-3777
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R100449
MD
363LF0000X
Family Nurse Practitioner
SP010284
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401662900
—
MD
Enumeration date
02/01/2008
Last updated
01/07/2013
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