PETRINA J BEUGRE


Address: 110 Cedar Pointe Loop Apt 1004, San Ramon, CA 94583-4198
Phone: 9258566087

PETRINA J BEUGRE (NPI# 1760007991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760007991
Entity Type Individual
Full Name PETRINA J BEUGRE
Credential REGISTERED NURSE
Practice Address 110 Cedar Pointe Loop Apt 1004
San Ramon
CA 94583-4198
Practice Telephone 9258566087
Practice Fax Number 9252375886
Mailing Telephone 9258566087
Mailing Fax Number 9252375886
Enumeration Date 2020-06-12
Last Update Date 2020-09-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WA2000X Registered Nurse
Specialization: Administrator
95025930 CA Nursing Service Providers
Y 364SI0800X Clinical Nurse Specialist
Specialization: Informatics
95025930 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 110 CEDAR POINTE LOOP APT 1004
City SAN RAMON
State CA
Zip Code 94583-4198

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Taxonomy Information

Taxonomy Code 364SI0800X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Informatics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629421367 Theresa Settergren Clinical Nurse Specialist 8700 Beverly Blvd, West Hollywood, CA 90048-1804 2016-07-18

Competitor

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City SAN RAMON
Zip Code 94583

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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