Provider Demographics
NPI:1275788879
Name:BEAMER, ANNE-MARIE (RN)
Entity Type:Individual
Prefix:MRS
First Name:ANNE-MARIE
Middle Name:
Last Name:BEAMER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 N AZTEC ST
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86001-1105
Mailing Address - Country:US
Mailing Address - Phone:928-853-9012
Mailing Address - Fax:928-527-0616
Practice Address - Street 1:1601 N AZTEC ST
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-1105
Practice Address - Country:US
Practice Address - Phone:928-853-9012
Practice Address - Fax:928-527-0616
Is Sole Proprietor?:No
Enumeration Date:2008-11-24
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN063697163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice