Individual
MR. JONATHAN RYAN BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
4102 PINION DR, US AIR FORCE ACADEMY, CO 80840-2502
(719) 333-5115
Mailing address
4102 PINION DR, US AIR FORCE ACADEMY, CO 80840-2502
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
126894
AK
Other
Enumeration date
09/27/2013
Last updated
04/08/2025
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