Individual provider · Type 1 NPI
Kendra Beaty
General Practice Registered Nurse · Woodbine, MD
NPI number
1629930201
Active
Practice location
7392 Woodbine Rd
Woodbine, MD 21797-8912
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | R180944 (MD) |
General Practice Registered Nurse: Definition to come...
About NPI 1629930201
Kendra Beaty's National Provider Identifier is 1629930201, issued on Dec 2, 2025. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Woodbine, MD. The record was last updated on Dec 2, 2025.