NPI 1891328118 · live from the CMS NPI Registry
Bethany Leann Beachel, PA-C
Physician Assistant in Owasso, OK. National Provider Identifier 1891328118, active.
NPI record
| NPI | 1891328118 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 9003 N Garnett Rd, Owasso, OK 74055 |
| Practice phone | 918-272-2882 |
| Mailing address | 1722 N 4th St Ste F, Ponca City, OK 74601 |
| Enumerated | February 14, 2020 |
| Last updated | February 14, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 2953 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.