Provider Demographics
NPI:1093313157
Name:BEIMEL, BETTY M (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:BETTY
Middle Name:M
Last Name:BEIMEL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:BETTY
Other - Middle Name:
Other - Last Name:LESLIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5966 ROUTE 66
Mailing Address - Street 2:
Mailing Address - City:KANE
Mailing Address - State:PA
Mailing Address - Zip Code:16735-3434
Mailing Address - Country:US
Mailing Address - Phone:814-598-1167
Mailing Address - Fax:
Practice Address - Street 1:5966 ROUTE 66
Practice Address - Street 2:
Practice Address - City:KANE
Practice Address - State:PA
Practice Address - Zip Code:16735-3434
Practice Address - Country:US
Practice Address - Phone:814-598-1167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-12
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program