Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS ROBERT BEATTY, PA
Active Sole ProprietorNICHOLAS ROBERT BEATTY, PA is a Medical Physician Assistant healthcare provider located in GRAND TERRACE, California. NPI 1295927747 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · GRAND TERRACE, CA
Registration Details
- NPI Number
- 1295927747
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 17, 2007 (18.982729746274 yrs)
- Last Updated
- Aug 17, 2007
- License
-
PA14337 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
22182 BARTON RDGRAND TERRACE, CA, 923135033Browse CA providers · Browse ZIP 92313
- Phone
- 9094220422
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
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.