Denmon, Beth Ann

Denmon, Beth Ann is an individual health care provider with primary practice located at 6616 Center Grove Rd. , Edwardsville IL 62025. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Denmon, Beth Ann can be contacted via phone (618) 659-1599.

Contact Information

Primary practice address
6616 Center Grove Rd. Edwardsville IL 62025
Phone: (618) 659-1599
Fax: (618) 659-1597
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209015530 Illinois

Profile Details

NPI number 1609304401
LBN Legal business name Denmon, Beth Ann
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2017
Last updated Jun 23rd, 2020 - about 5 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 1609304401 NPPES
Other 14017183 CAQH

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