Provider Demographics
NPI:1396068946
Name:BEATIE, NINA KATHERINE (DC)
Entity type:Individual
Prefix:DR
First Name:NINA
Middle Name:KATHERINE
Last Name:BEATIE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 KIMBERLY CT
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-3721
Mailing Address - Country:US
Mailing Address - Phone:707-226-7174
Mailing Address - Fax:
Practice Address - Street 1:20 KIMBERLY CT
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-3721
Practice Address - Country:US
Practice Address - Phone:707-226-7174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-11
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16256111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor