Provider Demographics
NPI:1013541648
Name:BEAL, NANCY (MSNED, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:BEAL
Suffix:
Gender:F
Credentials:MSNED, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:586 E 2850 N
Mailing Address - Street 2:
Mailing Address - City:NORTH OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84414-2016
Mailing Address - Country:US
Mailing Address - Phone:801-782-6620
Mailing Address - Fax:
Practice Address - Street 1:586 E 2850 N
Practice Address - Street 2:
Practice Address - City:NORTH OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84414-2016
Practice Address - Country:US
Practice Address - Phone:801-782-6620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-21
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT215052-4405363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner