Provider Demographics
NPI:1598005118
Name:BEEMAN, KARRIE A (REGISTERED NURSE)
Entity Type:Individual
Prefix:MISS
First Name:KARRIE
Middle Name:A
Last Name:BEEMAN
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:MISS
Other - First Name:KARRIE
Other - Middle Name:A
Other - Last Name:BEEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:PO BOX 1207
Mailing Address - Street 2:
Mailing Address - City:FAIRPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14450-7207
Mailing Address - Country:US
Mailing Address - Phone:585-259-0360
Mailing Address - Fax:
Practice Address - Street 1:281 W RIDGE RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14615
Practice Address - Country:US
Practice Address - Phone:585-324-5915
Practice Address - Fax:585-324-5924
Is Sole Proprietor?:No
Enumeration Date:2013-02-19
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY711306163W00000X
NY291792164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No164W00000XNursing Service ProvidersLicensed Practical Nurse