BRIAN ANDREW BEACH FNP-C
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1821792854- Provider Type
- Individual Provider (NPI-1)
- Credentials
- FNP-C
- Status
- Active
Contact & Location
- Address
- 4750 YELLOWSTONE AVE, CHUBBUCK, ID, 832022336
- Phone
- (208) 233-1720
- Fax
- (208) 233-2161
Specialties & Taxonomies
Nurse Practitioner, Family
License: MT #NUR-APRN-LIC-213661
Nurse Practitioner, Family
Primary License: ID #57692