Individual
MS. NINA BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1401 W 5TH ST, SHERIDAN, WY 82801-2705
(307) 674-6022
(307) 674-5405
Mailing address
1401 W 5TH ST, SHERIDAN, WY 82801-2705
(307) 674-6022
(307) 674-5405
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23523.0843
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124373000
—
WY
Enumeration date
09/28/2006
Last updated
10/17/2025
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