Individual
DENISE RAE BEESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
555 W 6TH ST, MOUNTAIN HOME, AR 72653-3409
(870) 425-8288
(870) 424-8299
Mailing address
555 W 6TH ST, MOUNTAIN HOME, AR 72653-3409
(870) 425-8288
(870) 425-8299
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A03461
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184875758
—
AR
01
—
283695YWUJ
MEDICARE
AR
01
—
A003461
ARKANSAS STATE BOARD OF NURSING
AR
Enumeration date
10/14/2010
Last updated
02/22/2024
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