Provider Demographics
NPI:1619268539
Name:BEEKS, KRYSTAL HAYNIE (APRN, NP-C)
Entity Type:Individual
Prefix:
First Name:KRYSTAL
Middle Name:HAYNIE
Last Name:BEEKS
Suffix:
Gender:F
Credentials:APRN, NP-C
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Other - First Name:
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Mailing Address - Street 1:2000 E. GREENVILLE ST.
Mailing Address - Street 2:SUITE 1600
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-1719
Mailing Address - Country:US
Mailing Address - Phone:864-226-9193
Mailing Address - Fax:864-716-6732
Practice Address - Street 1:2000 E. GREENVILLE ST.
Practice Address - Street 2:SUITE 1600
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-1719
Practice Address - Country:US
Practice Address - Phone:864-226-9193
Practice Address - Fax:864-716-6732
Is Sole Proprietor?:No
Enumeration Date:2011-04-26
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SCAPN.17464 RX363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily