Laryssa Sue Beatty
Individual provider Active NPI Case Manager/Care Coordinator · Dellroy, OH
NPI 1053196642 · NPPES record last updated Aug 30, 2023
Key facts
- NPI
- 1053196642
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 7 S Arch St
Dellroy, OH 44620-8301 - Phone
- (740) 792-4011
- NPI assigned
- Aug 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
7 S Arch St
Dellroy, OH 44620-8301
Mailing address
PO Box 335
Dellroy, OH 44620-0335
Phone (740) 792-4011
Other providers in Dellroy, OH
All providers in Dellroy, OH · Case Manager/Care Coordinator in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.