Beach, Michelle Marie

Beach, Michelle Marie is an individual health care provider with primary practice located at 2401 S 31St St , Temple TX 76508-4814. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Beach, Michelle Marie can be contacted via phone (254) 724-2111.

Contact Information

Primary practice address
2401 S 31St St Temple TX 76508-4814
Phone: (254) 724-2111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 684786 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP111738 Texas

Profile Details

NPI number 1376505966
LBN Legal business name Beach, Michelle Marie
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Dec 7th, 2021 - about 3 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 1376505966 NPPES
Texas MEDICAID 1532517-02
Texas MEDICAID 308753100
Texas Other G4398
Texas Other P00198582
Texas Other 84414U

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