Individual
MICHELLE BEACHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 WILLOW LAKES DRIVE, SUITE 208, WILLOW STREET, PA 17584
(717) 740-4434
Mailing address
212 WILLOW LAKES DRIVE, SUITE 208, WILLOW STREET, PA 17584
(717) 740-4434
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN261885
PA
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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