Provider Demographics
NPI:1285835348
Name:ARMSTRONG, BETH ANN (RN, MS)
Entity type:Individual
Prefix:MS
First Name:BETH
Middle Name:ANN
Last Name:ARMSTRONG
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Gender:F
Credentials:RN, MS
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Mailing Address - Street 1:39155 LIBERTY ST
Mailing Address - Street 2:SUITE G710
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-1513
Mailing Address - Country:US
Mailing Address - Phone:510-795-2434
Mailing Address - Fax:510-793-3972
Practice Address - Street 1:39155 LIBERTY ST
Practice Address - Street 2:SUITE G710
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1513
Practice Address - Country:US
Practice Address - Phone:510-795-2434
Practice Address - Fax:510-793-3972
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CARN232286364SP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0807XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & Adolescent