Most Relevant Information
Provider Data
| NPI Number: | 1003458266 |
| Provider Name: | MARY BEACH NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP2300X |
| Specialty: | Nurse Practitioner |
| License Number: | F08190619 |
Most Important Dates
| Enumeration Date: | 10/09/2019 |
| Last Updated: | 02/24/2020 |
Provider Practice Location
3400 S WASHINGTON RD
SAGINAW
MI
486014958
Practice Location Phone/Fax
| Phone: | 8103565556 |
| Fax: |
Provider Mailing Location
1602 ELIZABETH ST
MIDLAND
MI
486404813
Provider Mailing Phone/Fax
| Phone: | 2488074091 |
| Fax: |