# DERENDA MARIE BEASLEY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1386120343
- **Gender:** F
- **Credential:** APN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | 1-116363 | AL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 161408 | MT | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 209018576 | IL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | C-APN.0002135-C-NP | CO | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | C-RXN.0000972-C-NP | CO | — |

## Other

- **Enumeration date:** 07/12/2018
- **Last updated:** 09/08/2023