Beaty, Susan Elaine

Beaty, Susan Elaine is an individual health care provider with primary practice located at 2620 W Faidley Ave Wound Ostomy Healing Center, Grand Island NE 68803-4205. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Beaty, Susan Elaine can be contacted via phone (308) 398-5981.

Contact Information

Primary practice address
2620 W Faidley Ave Wound Ostomy Healing Center Grand Island NE 68803-4205
Phone: (308) 398-5981
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 34217 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 110221 Nebraska

Profile Details

NPI number 1194701276
LBN Legal business name Beaty, Susan Elaine
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Sep 24th, 2014 - 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 1194701276 NPPES
Nebraska MEDICAID 10025288400
Nebraska MEDICAID 47-037-6601-36

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