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Individual

MS. SUSAN BEAUPRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 779-3366
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
(928) 213-6292

Taxonomy

Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
AP2829
AZ
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
RN104558
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
516971
AZ
Enumeration date
08/25/2008
Last updated
04/17/2017
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