National Provider Identifier

Amy Rebecca Beach, CRNP

Amy Rebecca Beach, CRNP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Jamestown, NY and a listed phone number of (716) 661-9730.

NPI 1629045026Jamestown, NYNurse Practitioner

Profile Overview

NPI
1629045026
Provider Type
Individual
Primary Specialty
Nurse Practitioner
Enumeration Date
March 03, 2006
Last Updated
March 07, 2023

Practice Location

  • 1684 Foote Avenue Ext
  • Jamestown, NY 14701-9385

Phone: (716) 661-9730

Specialties

  • Nurse Practitioner (363L00000X)

Endpoints

  • stp@348.direct.myezyaccess.com

    Direct Messaging Address | Jamestown, NY 14701

Full Record
NPI
1629045026
Entity Type
Individual
Last Name
Beach
First Name
Amy
Middle Name
Rebecca
Name Prefix
Mrs.
Credential
CRNP
Mailing Street Address
1684 Foote Avenue Ext
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701-9385
Mailing Country
US
Mailing Phone
(716) 661-9730
Mailing Fax
(716) 661-9732
Practice Street Address
1684 Foote Avenue Ext
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-9385
Practice Country
US
Practice Phone
(716) 661-9730
Practice Fax
(716) 661-9732
Enumeration Date
March 03, 2006
Last Updated
March 07, 2023
Sex
Female
Sole Proprietor
No
Certification Date
January 20, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Nurse Practitioner (363L00000X)
Other Identifiers
9511745 (Indep Health), 00026507402 (Univera), 161570481 (Tax Id), P00131876 (Railroad Medicare), F3308961 (NY, Lic), 000560438003 (Comm Blue), 01568501 (NY), CA8673 (Railroad Medicare)