Beebe, Alicia

Beebe, Alicia is an individual health care provider with primary practice located at 13045 Mj Rd , Myakka City FL 34251-1278. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Beebe, Alicia can be contacted via phone (860) 995-0458.

Contact Information

Primary practice address
13045 Mj Rd Myakka City FL 34251-1278
Phone: (860) 995-0458
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 9403992 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 9403992 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 002966 Connecticut

Profile Details

NPI number 1184696890
LBN Legal business name Beebe, Alicia
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Nov 25th, 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 1184696890 NPPES
Connecticut MEDICAID 004239853

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