Most Relevant Information
Provider Data
| NPI Number: | 1003810672 |
| Provider Name: | ANDREA BEALE A.R.N.P. |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | ARNP1697012 |
Most Important Dates
| Enumeration Date: | 06/10/2005 |
| Last Updated: | 09/18/2022 |
Provider Practice Location
1324 LAKELAND HILLS BLVD
LAKELAND
FL
338054543
Practice Location Phone/Fax
| Phone: | 8632845020 |
| Fax: | 3842845387 |
Provider Mailing Location
1324 LAKELAND HILLS BLVD
ATTN: MEDICAL STAFF OFFICE
LAKELAND
FL
338054543
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |