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Individual

BARBARA BEATTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1 TAYLOR AVE, PEARISBURG, VA 24134-1932
(540) 921-6000
Mailing address
350 RIVERSIDE AVE, NARROWS, VA 24124-1124

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001052818
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024052818
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8934941
VA
Enumeration date
04/21/2006
Last updated
05/08/2008
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