Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 13846 | NH |
N | 111NI0900X | Internist | 13846 | NH |
N | 207R00000X | Internist | RT1451 | NH |
N | 111NI0900X | Internist | RT1451 | NH |
N | 207RG0300X | Geriatric Medicine | 149380 | NC |
Y | 207RG0300X | Geriatric Medicine | DO2514 | ME |
NPI | 1164525341 |
---|---|
Provider Name | Dr. Annette M Beyea |
First Address | Augusta, ME 04330-5758 |
Second Address | Augusta, ME 04330-5758 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2006 |
Last Update Date | 31/05/2019 |