DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GLENN STEPHEN BEAUCHAMP

Active Sole Proprietor

GLENN STEPHEN BEAUCHAMP is a Registered Nurse healthcare provider located in STATEN ISLAND, New York. NPI 1124534219 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · STATEN ISLAND, NY

Registration Details

NPI Number
1124534219
Provider Type
Individual
Gender
Male
NPI Issued
Dec 27, 2017 (8.6364035267162 yrs)
Last Updated
Dec 27, 2017
License
604168-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
245 MILL RD APT 3A
STATEN ISLAND, NY, 103064747
Browse NY providers · Browse ZIP 10306
Phone
7189796900
Fax
7189796940
Primary Specialty
Registered Nurse
163W00000X

Other Registered Nurse Providers in STATEN ISLAND, NY

Name Credential NPI
MR. CONRADO C BERNARDO RN 1669489357
MS. MARY ELIZABETH LISI NP, CNM 1598826711
MAUREEN ONEILL NP 1093866832
MRS. KATHLEEN JORDAN RN 1487791158
MRS. MAUREEN GAVIN RN 1689711350
MRS. SOUNG OK YU RN 1699812370
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.