Martha Lee Beilsmith, FNP

Individual provider Active NPI Family Nurse Practitioner · Troy, MO

NPI 1962408328 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1962408328
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
055378 (MO)
Practice address
1145 E Cherry St
Troy, MO 63379-1520
Phone
(636) 528-5712
NPI assigned
Jun 21, 2005
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)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
055378MOMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 055378 MO Yes

Addresses

Primary practice location

1145 E Cherry St
Troy, MO 63379-1520

Mailing address

2500 Executive Drive
Suite 104
St. Charles, MO 63303
Phone (888) 811-4677

Other providers in Troy, MO

All providers in Troy, MO · Family Nurse Practitioner in Missouri

Sources for this page

Verify at the official NPI Registry.