Andresen, Beth Ismark

Andresen, Beth Ismark is an individual health care provider with primary practice located at 1871 West Orange Grove Road Suite 101, Tucson AZ 85704. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Andresen, Beth Ismark can be contacted via phone (520) 498-5000.

Contact Information

Primary practice address
1871 West Orange Grove Road Suite 101 Tucson AZ 85704
Phone: (520) 498-5000
Fax: (520) 498-5011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 077679 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X RN077619 Arizona

Profile Details

NPI number 1992865737
LBN Legal business name Andresen, Beth Ismark
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Dec 12th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992865737 NPPES
Arizona MEDICAID 367723

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