Individual
MRS. ELIZABETH ETHRIDGE BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 668-0289
Mailing address
511 S MANGUM ST APT 1044, DURHAM, NC 27701-1002
(404) 345-5118
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
126125
GA
Other
Enumeration date
05/22/2019
Last updated
08/25/2019
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