Beach, Nina

Beach, Nina is an individual health care provider with primary practice located at 1401 W 5Th St , Sheridan WY 82801-2705. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Beach, Nina can be contacted via phone (307) 674-6022.

Contact Information

Primary practice address
1401 W 5Th St Sheridan WY 82801-2705
Phone: (307) 674-6022
Fax: (307) 674-5405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 23523.0843 Wyoming

Profile Details

NPI number 1639261555
LBN Legal business name Beach, Nina
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated May 8th, 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 1639261555 NPPES
Wyoming MEDICAID 124373000

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