Provider Demographics
NPI:1821859455
Name:COLLABORATIVE HEALTH PARTNERSHIP
Entity Type:Organization
Organization Name:COLLABORATIVE HEALTH PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:BEANE
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC, RD, LDN, CDE
Authorized Official - Phone:828-551-2389
Mailing Address - Street 1:281 LAUREL VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:MARS HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28754-6787
Mailing Address - Country:US
Mailing Address - Phone:828-551-2389
Mailing Address - Fax:
Practice Address - Street 1:281 LAUREL VALLEY RD
Practice Address - Street 2:
Practice Address - City:MARS HILL
Practice Address - State:NC
Practice Address - Zip Code:28754-6787
Practice Address - Country:US
Practice Address - Phone:828-551-2389
Practice Address - Fax:207-419-6302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes EducatorGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty