Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | APRN.CNP.0027716 | OH |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | APRN.CNP.0027716 | OH |
NPI | 1366042962 |
---|---|
Provider Name | Danielle Mariah Beebe |
First Address | Clyde, OH 43410-1556 |
Second Address | Perrysburg, OH 43551-3356 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2020 |
Last Update Date | 19/04/2021 |