Beal, Kemmarie C
Beal, Kemmarie C is an individual health care provider with primary practice located at 340 Broad St Ste 304 , Windsor CT 06095-3030. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Beal, Kemmarie C can be contacted via phone (860) 776-0187.Contact Information
Primary practice address
340 Broad St Ste 304
Windsor CT 06095-3030
Phone: (860) 776-0187
Fax: (815) 205-4087
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 004289 | Connecticut |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4289 | Connecticut |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 004289 | Connecticut |
Profile Details
NPI number | 1780914374 |
---|---|
LBN Legal business name | Beal, Kemmarie C |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 5th, 2010 |
Last updated | Jun 18th, 2024 - about 6 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780914374 | NPPES |
Connecticut | Other | 004289 | LICENSE |
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