Provider Demographics
NPI:1396799219
Name:MCGHEE, BEATE H (APN)
Entity type:Individual
Prefix:
First Name:BEATE
Middle Name:H
Last Name:MCGHEE
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 19908
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-2554
Mailing Address - Country:US
Mailing Address - Phone:775-323-6100
Mailing Address - Fax:
Practice Address - Street 1:343 ELM ST
Practice Address - Street 2:SUITE 202
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-4522
Practice Address - Country:US
Practice Address - Phone:775-323-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPN000565363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100501945Medicaid
NVCC6142OtherBLUE CROSS BLUE SHIELD
NV880167036A007OtherTRICARE
NVP00015332Medicare ID - Type UnspecifiedRR MEDICARE
NVP04809Medicare UPIN
NV100501945Medicaid