Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | R185511 | MD |
NPI | 1043566250 |
---|---|
Provider Name | Elizabeth A Beegle |
First Address | Silver Spring, MD 20910-1483 |
Second Address | Silver Spring, MD 20910-1483 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2012 |
Last Update Date | 25/07/2012 |