NPI 1457607772 · live from the CMS NPI Registry
Amy Jo Kathryn Beebe, RN, CPNP
Nurse Practitioner, Pediatrics in Saint Paul, MN. National Provider Identifier 1457607772, active.
NPI record
| NPI | 1457607772 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 200 University Ave E, Saint Paul, MN 55101 |
| Practice phone | 651-578-5603 |
| Mailing address | 3070 Rice Creek Rd, New Brighton, MN 55112 |
| Enumerated | July 24, 2012 |
| Last updated | September 29, 2014 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | R185995-9 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.