Individual
MRS. BREANNA R BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
435 E 2ND AVE, OWASSO, OK 74055-3208
(918) 272-9919
Mailing address
PO BOX 54, OWASSO, OK 74055-0054
(918) 272-9919
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
211413
OK
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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