Provider Demographics
NPI:1477365963
Name:BEECHAM, SHAYLA M
Entity type:Individual
Prefix:
First Name:SHAYLA
Middle Name:M
Last Name:BEECHAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:439 N 8TH RD
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:NE
Mailing Address - Zip Code:68418-4110
Mailing Address - Country:US
Mailing Address - Phone:308-550-1707
Mailing Address - Fax:
Practice Address - Street 1:439 N 8TH RD
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:NE
Practice Address - Zip Code:68418-4110
Practice Address - Country:US
Practice Address - Phone:308-550-1707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider