Individual provider · Type 1 NPI
Nicholas Robert Beatty, PA
Medical Physician Assistant · Grand Terrace, CA
NPI number
1295927747
Active
Practice location
22182 Barton Rd
Grand Terrace, CA 92313-5033
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA14337 (CA) |
Medical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1295927747
Nicholas Robert Beatty, PA's National Provider Identifier is 1295927747, issued on Aug 17, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Grand Terrace, CA. The record was last updated on Aug 17, 2007.