Individual
ROBIN E BEAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MS, ACNP-BC
Contact information
Practice address
4261 HEATHERDALE CT, MOORPARK, CA 93021-3738
(805) 523-1168
Mailing address
4261 HEATHERDALE CT, MOORPARK, CA 93021-3738
(805) 523-1168
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
530098
CA
363LA2200X
Adult Health Nurse Practitioner
530098
CA
Other
Enumeration date
05/28/2009
Last updated
05/28/2009
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