person
Michael J Beach, FNP
Family Nurse Practitioner in La Porte, Indiana
NPI 1942219878

Michael J Beach is a Family Nurse Practitioner based in La Porte, IN and is specialized in Family. Michael J Beach practices in La Porte, IN and has the professional credentials of FNP. The NPI Number for Michael J Beach is 1942219878 and holds a License No. 71000746A (Indiana).

The current practice location address for Michael J Beach is 7002 W Johnson Rd, La Porte, IN and can be reached out via phone at 219-325-0604 and via fax at 219-879-1401.

Location: 7002 W Johnson Rd, La Porte, IN, 46352-1690
person
Provider Profile Details
NPI Number
1942219878
Provider Name
Michael J Beach
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
7002 W Johnson Rd, La Porte, IN, 46352-1690
Phone Number
219-325-0604
Fax Number
219-879-1401
Provider Enumeration Date
08/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000792654 01 IN ANTHEM BCBS
200233470 05 IN
institution
Provider Business Practice Location Address Details
Address
7002 W Johnson Rd
City
State
Zip
46350-8289
Phone Number
219-325-0604
Fax Number
219-879-1401
person
Provider Business Mailing Address Details
Address
7002 W Johnson Rd
City
State
Zip
46350-8289
Phone Number
219-325-0604
Fax Number
219-879-1401
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71000746A (Indiana)
Definition
Definition to come...
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