Individual provider · NPI-1

Andrea Beatty, FNP-C

Nurse Practitioner, Family · Newport Beach, CA

NPI number1790201655
StatusActive
Last updated in NPPESAug 22, 2017

Details

NPI
1790201655
Entity type
Individual (NPI-1)
Name
Andrea Beatty
Credential
FNP-C
Sex
Female
Sole proprietor
No
Enumeration date
Aug 22, 2017
Last updated
Aug 22, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family95005968CAYes

Practice location

1419 Superior Ave Ste 1
Newport Beach, CA 92663-2723

Phone 949-650-0587 · Fax 949-631-8155

Mailing address

1419 Superior Ave Ste 1
Newport Beach, CA 92663-2723

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