Individual
SUSAN M. BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, NP-C
Contact information
Practice address
7926 PRESTON HWY, SUITE 106, LOUISVILLE, KY 40219-3848
(502) 964-4357
(502) 966-5948
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3005786
KY
363LF0000X
Family Nurse Practitioner
5786P
KY
Other
Enumeration date
10/30/2008
Last updated
02/02/2017
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