Provider Demographics
NPI:1972502870
Name:BEATO, JANE F (RN, CS, FNP)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:F
Last Name:BEATO
Suffix:
Gender:F
Credentials:RN, CS, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:670 MASON RIDGE CENTER DR
Mailing Address - Street 2:STE 300
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8573
Mailing Address - Country:US
Mailing Address - Phone:314-953-6300
Mailing Address - Fax:314-953-6309
Practice Address - Street 1:1225 GRAHAM RD
Practice Address - Street 2:STE 2310C
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63031-8012
Practice Address - Country:US
Practice Address - Phone:314-953-6300
Practice Address - Fax:314-953-6309
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO053268363LF0000X
IL209-006338363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO426005005Medicaid
MO426005005Medicaid
MOP82208Medicare UPIN