Provider Demographics
NPI:1689458606
Name:BEERS, CHRISTOPHER CHARLES (DNP)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:CHARLES
Last Name:BEERS
Suffix:
Gender:M
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1884 W CAJEAN WAY
Mailing Address - Street 2:
Mailing Address - City:WEST JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84088-5544
Mailing Address - Country:US
Mailing Address - Phone:801-674-2165
Mailing Address - Fax:
Practice Address - Street 1:349 N FLINT ST STE 101
Practice Address - Street 2:
Practice Address - City:KAYSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84037-9808
Practice Address - Country:US
Practice Address - Phone:801-927-3080
Practice Address - Fax:801-927-3088
Is Sole Proprietor?:No
Enumeration Date:2023-08-21
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10841878-4405363LF0000X
UT10841878-4405363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily