Individual
EMILY SUSAN BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
2350 FREEDOM WAY, SUITE 200, YORK, PA 17402-8200
(717) 812-5120
(717) 741-3075
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 812-5120
(717) 741-3075
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP015433
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PO1713121
RAILROAD MEDICARE
PA
Enumeration date
10/02/2015
Last updated
10/28/2016
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