Individual provider · Type 1 NPI

Glenn Stephen Beauchamp

Registered Nurse · Staten Island, NY

NPI number 1124534219 Active

Practice location

245 Mill Rd Apt 3A
Staten Island, NY 10306-4747

Fax (718) 979-6940

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X604168-1 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1124534219

Glenn Stephen Beauchamp's National Provider Identifier is 1124534219, issued on Dec 27, 2017. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Staten Island, NY. The record was last updated on Dec 27, 2017.