Provider Demographics
NPI:1568968212
Name:BEATO, KARYNA
Entity Type:Individual
Prefix:
First Name:KARYNA
Middle Name:
Last Name:BEATO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:742 FARAWAY CT
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-1823
Mailing Address - Country:US
Mailing Address - Phone:301-631-4250
Mailing Address - Fax:
Practice Address - Street 1:742 FARAWAY CT
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-1823
Practice Address - Country:US
Practice Address - Phone:301-631-4250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-02
Last Update Date:2018-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant