Provider Demographics
NPI:1497834675
Name:BEERY, BETH ELLEN (RN)
Entity Type:Individual
Prefix:MS
First Name:BETH
Middle Name:ELLEN
Last Name:BEERY
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 1:288 N METZGER AVE
Mailing Address - Street 2:
Mailing Address - City:RITTMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44270-1017
Mailing Address - Country:US
Mailing Address - Phone:330-925-1243
Mailing Address - Fax:
Practice Address - Street 1:288 N METZGER AVE
Practice Address - Street 2:
Practice Address - City:RITTMAN
Practice Address - State:OH
Practice Address - Zip Code:44270-1017
Practice Address - Country:US
Practice Address - Phone:330-925-1243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH217170163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics