Individual
MS. MARINDA MARGARET BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
149 MOORE DR, LEXINGTON, KY 40503-2918
(859) 335-1330
Mailing address
149 MOORE DR, LEXINGTON, KY 40503-2918
(859) 335-1330
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
1152836
KY
363L00000X
Nurse Practitioner
Primary
3018472
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3018472
KENTUCKY BOARD OF NURSING
KY
Enumeration date
04/28/2022
Last updated
03/03/2023
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