Provider Demographics
NPI:1700661337
Name:BEYAH-AUSTIN, SALEEMAH (MSN, RN-BC)
Entity Type:Individual
Prefix:MRS
First Name:SALEEMAH
Middle Name:
Last Name:BEYAH-AUSTIN
Suffix:
Gender:F
Credentials:MSN, RN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 CITY AVE UNIT EE321
Mailing Address - Street 2:
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-3900
Mailing Address - Country:US
Mailing Address - Phone:215-939-5866
Mailing Address - Fax:
Practice Address - Street 1:1001 CITY AVE UNIT EE321
Practice Address - Street 2:
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-3900
Practice Address - Country:US
Practice Address - Phone:215-939-5866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA627080163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse