Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | APRN.CNP.06674 | OH |
Y | 363LA2100X | Nurse Practitioner - Acute Care | VP007013M | PA |
N | 363LP0200X | Nurse Practitioner - Pediatrics | SP008614 | PA |
NPI | 1023018959 |
---|---|
Provider Name | Mr. Michael D. Beach |
First Address | Pittsburgh, PA 15261-2403 |
Second Address | Pittsburgh, PA 15261-2403 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2005 |
Last Update Date | 03/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P50708 | (02) | PA |
RN342536L | REG NURSE (01) | PA |