Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beau Prey

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1144785049

Beau Prey is a Student in an Organized Health Care Education/Training Program in Joint Base Lewis McChord, Washington. Licensed in Nebraska. Registered with an NPI since 2019.

Licensed in
NE
In the registry since
2019
Specialties on file
2

Practice location Address checks out

9040 Fitzsimmons Dr
Joint Base Lewis McChord, WA 98431-1000
Phone: (253) 968-0236
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 33180 (NE)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1144785049
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 5, 2019
Last updated in NPPESDecember 22, 2020
Certification dateDecember 22, 2020
Mailing address813 W Lovell St Apt 210b, Kalamazoo, MI 49007-4524

Other providers in Joint Base Lewis McChord