NPI 1194701276 · live from the CMS NPI Registry
Susan Elaine Beaty, APRN
Nurse Practitioner, Family in Grand Island, NE. National Provider Identifier 1194701276, active.
NPI record
| NPI | 1194701276 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 2620 W Faidley Ave, Wound Ostomy Healing Center, Grand Island, NE 68803 |
| Practice phone | 308-398-5981 |
| Enumerated | December 20, 2005 |
| Last updated | September 24, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 34217 (NE) |
| Nurse Practitioner, Family primary | 363LF0000X | 110221 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.