Individual
ALYSSA BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
214 MAIN ST, CADIZ, KY 42211-9153
(270) 522-0898
Mailing address
214 MAIN ST, CADIZ, KY 42211-9153
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4009609
KY
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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