Beach, Christa G

Beach, Christa G is an individual health care provider with primary practice located at 3850 Park Nicollet Blvd , St Louis Park MN 55416-2527. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Beach, Christa G can be contacted via phone (952) 993-5041.

Contact Information

Primary practice address
3850 Park Nicollet Blvd St Louis Park MN 55416-2527
Phone: (952) 993-5041
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X R 1363678 Minnesota

Profile Details

NPI number 1285611772
LBN Legal business name Beach, Christa G
Credentials Gerontological Nurse Practitioner (GNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Mar 19th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285611772 NPPES
Minnesota MEDICAID 151662100

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