Individual
MS. KATIE A BEESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
300 W 80TH PL STE A, MERRILLVILLE, IN 46410-5476
(219) 232-6522
Mailing address
300 W 80TH PL STE A, MERRILLVILLE, IN 46410-5476
(219) 232-6522
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28198349A
IN
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-98477
IN
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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