Individual
MRS. KIM I BEUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
383 E 1900 S, CLEARFIELD, UT 84015
(801) 388-2189
Mailing address
383 E 1900 S, CLEARFIELD, UT 84015-6223
(801) 388-2189
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201250100NP
OR
363LF0000X
Family Nurse Practitioner
201500-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639441264
—
UT
05
—
500648185
—
OR
Enumeration date
01/27/2012
Last updated
08/27/2018
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