Individual
MRS. ERICA RENAE VAN BEUGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
287 E HUNT HWY STE 105, SAN TAN VALLEY, AZ 85143-5096
(480) 677-8282
(888) 316-1686
Mailing address
261 N ROOSEVELT AVE, CHANDLER, AZ 85226-2617
(480) 677-8282
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-14186
NC
363A00000X
Physician Assistant
12310
GA
363A00000X
Physician Assistant
Primary
7596
AZ
363A00000X
Physician Assistant
PA.0008420
CO
363A00000X
Physician Assistant
PA100449
MA
363A00000X
Physician Assistant
PA61526401
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144809
—
AZ
Enumeration date
04/05/2019
Last updated
05/08/2024
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