Individual
MRS. AMANDA SUE BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
403 E G ST, ELIZABETHTON, TN 37643-3223
(423) 279-2777
Mailing address
403 E G ST, ELIZABETHTON, TN 37643-3223
(423) 543-2521
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18906
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024179348
VA
Other
Enumeration date
07/17/2014
Last updated
08/06/2023
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