Paskel Beaugh
Individual provider Active NPI Registered Nurse · Kersey, CO
NPI 1063802197 · NPPES record last updated Jan 27, 2015
Key facts
- NPI
- 1063802197
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 0192181 (CO)
- Practice address
- 25376 County Road 48
Kersey, CO 80644-9030 - Phone
- (970) 302-3590
- NPI assigned
- Jan 27, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0192181 | CO | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0192181 | CO | Yes |
Addresses
Primary practice location
25376 County Road 48
Kersey, CO 80644-9030
Mailing address
25376 County Road 48
Kersey, CO 80644-9030
Phone (970) 302-3590
Other providers in Kersey, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2015. 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.