Individual
MARLEE BEAUCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2733
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770222952
—
NV
01
—
PA2733
STATE LICENSE
NV
Enumeration date
06/03/2022
Last updated
06/24/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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