Provider Demographics
NPI:1396268348
Name:BEUKEMA, RACHEL JOY (DNP, CNP, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:JOY
Last Name:BEUKEMA
Suffix:
Gender:F
Credentials:DNP, CNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1652 GREENVIEW DR SW STE 160
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55902-4326
Mailing Address - Country:US
Mailing Address - Phone:507-405-0543
Mailing Address - Fax:507-607-8787
Practice Address - Street 1:1652 GREENVIEW DR SW STE 160
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55902-4326
Practice Address - Country:US
Practice Address - Phone:507-405-0543
Practice Address - Fax:507-607-8787
Is Sole Proprietor?:No
Enumeration Date:2017-07-21
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5290363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health