Basic Information
| Provider Information | |||||||||
| NPI: | 1366042962 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BEEBE | ||||||||
| FirstName: | DANIELLE | ||||||||
| MiddleName: | MARIAH | ||||||||
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| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 156 WOODLAND PL | ||||||||
| Address2: | |||||||||
| City: | CLYDE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 434101556 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 10540 FREMONT PIKE | ||||||||
| Address2: | |||||||||
| City: | PERRYSBURG | ||||||||
| State: | OH | ||||||||
| PostalCode: | 435513356 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8004271902 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/01/2020 | ||||||||
| LastUpdateDate: | 04/19/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/19/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207QH0002X | APRN.CNP.0027716 | OH | N | Allopathic & Osteopathic Physicians | Family Medicine | Hospice and Palliative Medicine | 363LF0000X | APRN.CNP.0027716 | OH | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.