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Individual
MRS. ANNETTE DARLENE BEASLEY
Active
Individual
MRS. ANNETTE DARLENE BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01053156A
IN
207Q00000X
Family Medicine Physician
Primary
35785
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000292351
ANTHEM
IN
05
—
200357830A
—
IN
01
—
M400068689
ANTHEM- ICC
KY
01
—
P00058122
RAILROAD MEDICARE NUMBER
IN
Enumeration date
09/28/2006
Last updated
09/03/2026
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