Individual
TAMELA BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7930 NITTANY VALLEY DR, MILL HALL, PA 17751-8805
(570) 726-4306
(570) 726-4082
Mailing address
235 LUTZ LN, PORT MATILDA, PA 16870-7927
(570) 726-4306
(570) 726-4082
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN256848L
PA
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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