Individual
MARK DANIEL BEEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, FNP-C
Contact information
Practice address
747 WOODLAND HILLS DR, BOUNTIFUL, UT 84010-3039
(801) 503-7510
Mailing address
747 WOODLAND HILLS DR, BOUNTIFUL, UT 84010-3039
(801) 503-7510
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
8653294-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
8653294-4405
UT
Other
Enumeration date
06/22/2021
Last updated
10/21/2021
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