Provider Demographics
NPI:1699275446
Name:BEEGLE, RITA (LVN)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:
Last Name:BEEGLE
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 E MULBERRY ST
Mailing Address - Street 2:
Mailing Address - City:LEONARD
Mailing Address - State:TX
Mailing Address - Zip Code:75452-2339
Mailing Address - Country:US
Mailing Address - Phone:903-486-5576
Mailing Address - Fax:
Practice Address - Street 1:400 E MULBERRY ST
Practice Address - Street 2:
Practice Address - City:LEONARD
Practice Address - State:TX
Practice Address - Zip Code:75452-2339
Practice Address - Country:US
Practice Address - Phone:903-486-5576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-19
Last Update Date:2018-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX226208164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse