Provider Demographics
NPI:1497716526
Name:BEAM, AIMEE F (RD)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:F
Last Name:BEAM
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:AIMEE
Other - Middle Name:J
Other - Last Name:FLEUETTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24992 PRESTWICK DR
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:DE
Mailing Address - Zip Code:19968-2796
Mailing Address - Country:US
Mailing Address - Phone:302-684-8913
Mailing Address - Fax:
Practice Address - Street 1:21 W CLARKE AVE
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1840
Practice Address - Country:US
Practice Address - Phone:302-430-5608
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE017505L31Medicare ID - Type Unspecified