Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 0024167623 | VA |
NPI | 1013181684 |
---|---|
Provider Name | Tricia Dawn Beisch |
First Address | Richmond, VA 23291-1734 |
Second Address | Richmond, VA 23229-4942 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2008 |
Last Update Date | 27/01/2022 |