Provider Demographics
NPI:1447238795
Name:BEECHAM, KATHARINE LOUISE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:KATHARINE
Middle Name:LOUISE
Last Name:BEECHAM
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:642 STANVID DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37216-1127
Mailing Address - Country:US
Mailing Address - Phone:615-668-8343
Mailing Address - Fax:
Practice Address - Street 1:642 STANVID DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37216-1127
Practice Address - Country:US
Practice Address - Phone:615-668-8343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNNP0000007108363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
0285430OtherANCC
TN7108Medicaid
TN103706OtherRN
TN7108OtherAPN
TN103706OtherRN
0285430OtherANCC