Individual
ANDREA BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1014 MATHEUS DR, MURFREESBORO, TN 37128-7700
(479) 366-0940
Mailing address
3642 NE AKIN DR UNIT D, LEES SUMMIT, MO 64064-7974
(479) 366-0940
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2020040893
MO
Other
Enumeration date
04/11/2017
Last updated
04/26/2021
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