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Individual

MRS. KATIE BEER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, PMHNP-BC

Contact information

Practice address
176 MAIN ST, SOUTHBRIDGE, MA 01550-2561
(508) 765-2725
Mailing address
1 OLD VILLAGE RD, STURBRIDGE, MA 01566-1041
(508) 615-2698

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2298295
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2298295
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN2298295
CNP LICENSE
MA
Enumeration date
09/08/2015
Last updated
03/29/2021
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