FREDRICK DAVID BEAVER NPI 1922282904

NPI Information

  • NPI: 1922282904
  • Provider Name: FREDRICK DAVID BEAVER
  • Classification: Respite Care - 385HR2055X
  • Specialization: Respite Care, Mental Illness, Child
  • Entity Type: Individual
  • Address: 2750 N. NINO PLACE
    COCHISE, AZ
    ZIP 85606
  • Phone: (520) 253-0352

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NPI Details

Fredrick David Beaver is a respite care and mental illness and child respite care in Cochise, AZ. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. Fredrick David Beaver NPI is 1922282904. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2750 N. NINO PLACE
COCHISE, AZ
ZIP 85606
Phone: (520) 253-0352

The enumeration date for this NPI number is 12/26/2007 and was last updated on 1/14/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1385HR2055XRespite CareRespite Care, Mental Illness, ChildARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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