Provider Demographics
NPI:1730449190
Name:BESWICK, CAREEN ANGELLA (LPN)
Entity type:Individual
Prefix:MS
First Name:CAREEN
Middle Name:ANGELLA
Last Name:BESWICK
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 WINTHROP CT
Mailing Address - Street 2:4 YEARS
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-5610
Mailing Address - Country:US
Mailing Address - Phone:845-440-7076
Mailing Address - Fax:
Practice Address - Street 1:14 WINTHROP CT
Practice Address - Street 2:4 YEARS
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-5610
Practice Address - Country:US
Practice Address - Phone:845-440-7076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-20
Last Update Date:2012-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY293397-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY293397-1OtherLPN