Individual
AMY T BEANE
Active
Individual
AMY T BEANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
L002426
NC
163W00000X
Registered Nurse
234894
NC
363LF0000X
Family Nurse Practitioner
Primary
5014153
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00246
BLUE CROSS
NC
01
—
00540
BC FOR SWAIN
NC
01
—
560629325
TAX ID FOR SWAIN CO. HOSP
NC
01
—
560714394
TAX ID FOR HARRIS REGIONA
NC
Enumeration date
09/20/2006
Last updated
05/13/2021
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