Individual
YAN YAN BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8 CANAL CT, AVON, CT 06001-3726
(860) 674-9686
Mailing address
1 JOHN H STEWART DR, NEWINGTON, CT 06111-3126
(860) 667-4453
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7468
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7468
DEPARTMENT PUBLIC OF HEALTH
CT
Enumeration date
03/01/2018
Last updated
03/18/2020
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