Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | 26NJ00480600 | NJ |
Y | 363LP2300X | Nurse Practitioner - Primary Care | 26NJ00480600 | NJ |
NPI | 1053722140 |
---|---|
Provider Name | Ms. Kristen Renee Beer |
First Address | Brick, NJ 08724-3018 |
Second Address | Freehold, NJ 07728-7904 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2014 |
Last Update Date | 23/04/2018 |