Individual
KARIE BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
4962 LINCOLN AVE STE 101, EVANSVILLE, IN 47715-4149
(812) 402-3700
(812) 402-4611
Mailing address
4962 LINCOLN AVE STE 101, EVANSVILLE, IN 47715-4149
(812) 402-3700
(812) 402-4611
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
28144771A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
28144771A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300020109
—
IN
Enumeration date
09/05/2018
Last updated
11/15/2024
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