Individual
BARBARA BEUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
40 W 4TH ST APT 34, PATCHOGUE, NY 11772-2139
(631) 294-3936
Mailing address
40 W 4TH ST APT 34, PATCHOGUE, NY 11772-2139
(631) 294-3936
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
245600
NY
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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