Individual
NICOLE CUTSHAW BEAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
310 S LIMESTONE, LEXINGTON, KY 40508-3008
(859) 252-6612
Mailing address
425 LEWIS HARGETT CIR, LEXINGTON, KY 40503-3590
(859) 268-1030
(859) 269-4120
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
22652
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
3007323
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100193560
—
KY
Enumeration date
02/14/2012
Last updated
10/28/2020
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