Provider Demographics
NPI:1275818593
Name:BEEBE, NANCY DIANE (RN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:DIANE
Last Name:BEEBE
Suffix:
Gender:F
Credentials:RN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31007 INTERSTATE 10 W STE 115
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-9265
Mailing Address - Country:US
Mailing Address - Phone:830-981-9540
Mailing Address - Fax:
Practice Address - Street 1:31007 INTERSTATE 10 W STE 115
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-9265
Practice Address - Country:US
Practice Address - Phone:830-981-9540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-18
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX704121363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily