Dr STACIE M BEAVER is a female medical professional, specializing in Nurse Practitioner. She graduated in 2011.
UROLOGICAL CENTER P A
11110 MEDICAL CAMPUS RD
SUITE 228
HAGERSTOWN
MD
217426727
Tel: 3017330022
| Npi | 1619241007 |
| Pac Id | 0446412597 |
| Professional Enrollment Id | I20120507000401 |
| Last Name | BEAVER |
| First Name | STACIE |
| Middle Name | M |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
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| Organization Legal Name | UROLOGICAL CENTER P A |
| Group Practice Pac Id | 3375582844 |
| Number Of Group Practice Members | 10 |
| Line 1 Street Address | 11110 MEDICAL CAMPUS RD |
| Line 2 Street Address | SUITE 228 |
| Marker Of Address Line 2 Suppression | |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 217426727 |
| Phone Number | 3017330022 |
| Hospital Affiliation Ccn 1 | 210001 |
| Hospital Affiliation Lbn 1 | MERITUS MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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