Individual ProviderLee Ann BeachRegistered NurseNursing Service ProvidersPractice Address4212 N 16th St, Phoenix, AZ 85016-5319(602) 263-1200PECOS EnrollmentBased on the most recent information from CMS, provider Lee Ann Beach does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1033480629Provider TypeIndividualFull NameBeach, Lee AnnCredentialRNGenderFemaleSole ProprietorNoEnumeration Date1/13/2012Last Updated1/13/2012Contact InformationPractice LocationPractice Address4212 N 16th St, Phoenix, AZ 85016-5319Phone(602) 263-1200FaxUnlisted FaxMailing LocationMailing Address4212 N 16th St, Phoenix, AZ 85016-5319Phone(602) 263-1200FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense135618North Carolina