Individual
KATHRYN MARY BEALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21100
CA
363LN0000X
Neonatal Nurse Practitioner
RN148768
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000967293A
—
GA
Enumeration date
12/11/2006
Last updated
03/23/2023
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