Individual
PAMELA H BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1275 GLENWOOD DR, WEST MONROE, LA 71291-5539
(318) 322-1339
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 626-0287
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP04609
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1478776
—
LA
Enumeration date
10/03/2006
Last updated
05/05/2023
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