Individual
MRS. KATHARINE ELIZABETH BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, FNP
Contact information
Practice address
3740 W SYLVANIA AVE, SUITE 250, TOLEDO, OH 43623-4461
(419) 473-6670
Mailing address
23934 W MEADOW DR, GENOA, OH 43430-1032
(419) 306-5330
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.328171
OH
363LF0000X
Family Nurse Practitioner
Primary
COA.13710-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
COA.13710-NP
STATE OF OHIO BOARD OF NURSING
OH
01
—
RX-13710-EX1
PRESCRIPTIVE AUTHORITY - EXTERNSHIP
OH
Enumeration date
02/03/2009
Last updated
12/11/2012
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