Provider Demographics
NPI:1144415365
Name:BEACH, LYNN CATHERINE (RN, FNP)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:CATHERINE
Last Name:BEACH
Suffix:
Gender:F
Credentials:RN, FNP
Other - Prefix:
Other - First Name:LYNN
Other - Middle Name:CATHERINE
Other - Last Name:O'NEILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, FNP
Mailing Address - Street 1:185 BERRY ST, SUITE 130
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107
Mailing Address - Country:US
Mailing Address - Phone:415-860-7317
Mailing Address - Fax:415-514-2998
Practice Address - Street 1:185 BERRY ST, SUITE 130
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107
Practice Address - Country:US
Practice Address - Phone:415-860-7317
Practice Address - Fax:415-514-2998
Is Sole Proprietor?:No
Enumeration Date:2007-09-11
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA579773363L00000X
CA15306363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner