Individual
ALEXANDRA MARIA BEATTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
700 W IRONWOOD DR STE 155, COEUR D ALENE, ID 83814-4462
(208) 667-0585
(208) 625-2075
Mailing address
306 E RAILROAD AVE # D102, POST FALLS, ID 83854-1015
(208) 667-0585
(208) 625-2075
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN95166137
CA
363L00000X
Nurse Practitioner
Primary
NP95020961
CA
363LP0200X
Pediatric Nurse Practitioner
3771963
ID
Other
Enumeration date
04/04/2020
Last updated
09/18/2025
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