Geraldine Marie Beach, R.N.
Individual provider Active NPI Home Health Registered Nurse · Canandaigua, NY
NPI 1265763585 · NPPES record last updated Jan 26, 2010
Key facts
- NPI
- 1265763585
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 459674-1 (NY)
- Practice address
- 4360 Lake to Lake Rd
Canandaigua, NY 14424-9709 - Phone
- (585) 554-6465
- NPI assigned
- Jan 26, 2010
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 459674-1 | NY | MD | Home Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 459674-1 | NY | Yes |
Addresses
Primary practice location
4360 Lake to Lake Rd
Canandaigua, NY 14424-9709
Mailing address
4360 Lake to Lake Rd
Canandaigua, NY 14424-9709
Phone (585) 554-6465
Other providers in Canandaigua, NY
- Gregory Allen Bartholomew
- Patrick Jeffrey Bastow
- Kelly Gibson Bateman
- David Emil Baum
- Barbara S Bayley
- Theresa Marie Beach
- Christine Moore Beckingham
- Taylor Welch Beckler
- Jennie Bell
- Lisa Marie Bell
All providers in Canandaigua, NY · Home Health Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2010. 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.