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Contact Information

CHRISTA G BEACH, GNP
3850 PARK NICOLLET BLVD
SAINT LOUIS PARK, MN55416-2527
 Phone: 952-993-5041
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CHRISTA G BEACH · (Female)

NPI # 1285611772
Status Active
Credentials GNP (Gerontological Nurse Practitioner)
Entity Individual
Enumeration date 12/27/2005
Last updated 03/19/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • MN License # R 1363678
  • MN Medicaid 151662100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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