person
Laura Beach
Family Nurse Practitioner in Michigan City, Indiana
NPI 1851772917

Laura Beach is a Family Nurse Practitioner based in Detroit, IN and is specialized in Family. Laura Beach practices in Michigan City, IN. The NPI Number for Laura Beach is 1851772917 and holds a License No. 71005574A (Indiana).

The current practice location address for Laura Beach is 8865 W 400 N Ste 155, Michigan City, IN and can be reached out via phone at 219-872-5655 and via fax at 219-872-2712.

Location: 8865 W 400 N Ste 155, Michigan City, IN, 48278-1076
person
Provider Profile Details
NPI Number
1851772917
Provider Name
Laura Beach
Credential
Provider Entity Type
Individual
Gender
Female
Address
8865 W 400 N Ste 155, Michigan City, IN, 48278-1076
Phone Number
219-872-5655
Fax Number
219-872-2712
Provider Enumeration Date
06/15/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000953975 01 IN BCBS BMG VASCULAR
201307050 05 IN
P01743678 01 IN RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
8865 W 400 N Ste 155
City
State
Zip
46360-9010
Phone Number
219-872-5655
Fax Number
219-872-2712
person
Provider Business Mailing Address Details
Address
8865 W 400 N Ste 155
City
State
Zip
46360-9010
Phone Number
219-872-5655
Fax Number
219-872-2712
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71005574A (Indiana)
Definition
Definition to come...
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