Provider Demographics
NPI:1578058715
Name:BEACH, VALERIE ELIZABETH (DNP, CRNP, NNP-BC)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:ELIZABETH
Last Name:BEACH
Suffix:
Gender:F
Credentials:DNP, CRNP, NNP-BC
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:ELIZABETH
Other - Last Name:SCHOENFLIESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP
Mailing Address - Street 1:1700 MORNING BROOK DR
Mailing Address - Street 2:
Mailing Address - City:FOREST HILL
Mailing Address - State:MD
Mailing Address - Zip Code:21050-2692
Mailing Address - Country:US
Mailing Address - Phone:410-322-4818
Mailing Address - Fax:
Practice Address - Street 1:4940 EASTERN AVE STE AA266
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-2735
Practice Address - Country:US
Practice Address - Phone:410-550-0395
Practice Address - Fax:410-550-1163
Is Sole Proprietor?:No
Enumeration Date:2018-06-29
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR180694163WN0002X, 363LN0005X, 363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care
No363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care