Beauchaine, Debra A

Beauchaine, Debra A is an individual health care provider with primary practice located at 250 E Dunlap Ave , Phoenix AZ 85020-2825. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Beauchaine, Debra A can be contacted via phone (602) 870-6060.

Contact Information

Primary practice address
250 E Dunlap Ave Phoenix AZ 85020-2825
Phone: (602) 870-6060
Fax: (602) 216-5633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP30004269 Washington
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP3262 Arizona

Profile Details

NPI number 1275671901
LBN Legal business name Beauchaine, Debra A
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Oct 23rd, 2013 - about 13 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 1275671901 NPPES
Washington Other 0039581 LABOR AND INDUSTRIES #
Washington Other 3688BE LABOR AND INDUSTRIES #
Washington Other US7777426 LABOR AND INDUSTRIES #
Washington MEDICAID 9638552 LABOR AND INDUSTRIES #

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