Amy Jo Kathryn Beebe, RN, CPNP
Nurse Practitioner, Pediatrics in Saint Paul, MN. Individual provider (NPI-1).
NPI number1457607772
StatusActive
Last updated in NPPESSep 29, 2014
Details
- NPI
- 1457607772
- Entity type
- Individual (NPI-1)
- Name
- Amy Jo Kathryn Beebe
- Credential
- RN, CPNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 24, 2012
- Last updated
- Sep 29, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | R185995-9 | MN | Yes |
Practice location
200 University Ave ESaint Paul, MN 55101-2507
Phone 651-578-5603
Mailing address
3070 Rice Creek RdNew Brighton, MN 55112-5338
Phone 612-432-5593
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