Provider Demographics
NPI:1457991119
Name:BEECHLER, LAURI L (MSN, FNP-C, RN)
Entity Type:Individual
Prefix:
First Name:LAURI
Middle Name:L
Last Name:BEECHLER
Suffix:
Gender:F
Credentials:MSN, FNP-C, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12251 WEST AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-2518
Mailing Address - Country:US
Mailing Address - Phone:630-373-7266
Mailing Address - Fax:
Practice Address - Street 1:12251 WEST AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-2518
Practice Address - Country:US
Practice Address - Phone:630-373-7266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-10
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX144426363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily