Beach, Judith

Beach, Judith is an individual health care provider with primary practice located at 3380 C St Suite 100, Anchorage AK 99503-3920. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Beach, Judith can be contacted via phone (907) 497-2311.

Contact Information

Primary practice address
3380 C St Suite 100 Anchorage AK 99503-3920
Phone: (907) 497-2311
Fax: (907) 497-2310
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 213 Alaska

Profile Details

NPI number 1457452963
LBN Legal business name Beach, Judith
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jul 9th, 2007 - about 17 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 1457452963 NPPES
Alaska MEDICAID NP61741

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