Individual
MICHELLE N BEALER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
1829 CAMINO REAL WAY, ROSEVILLE, CA 95747-8430
(916) 533-3698
Mailing address
1829 CAMINO REAL WAY, ROSEVILLE, CA 95747-8430
(916) 533-3698
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95022800
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95022800
NURSE PRACTITIONER FURNISHING NUMBER
CA
Enumeration date
09/26/2022
Last updated
10/17/2022
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