Individual
MS. CHRISTA G BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-5041
Mailing address
6465 WAYZATA BLVD, STE 315, ST LOUIS PARK, MN 55426-1728
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R 1363678
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151662100
—
MN
Enumeration date
12/27/2005
Last updated
03/19/2015
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