Individual
MRS. ELLEN C. BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
416 N SEMINARY ST, SUITE 2500, FLORENCE, AL 35630-4657
(256) 764-7710
(256) 765-3888
Mailing address
416 N SEMINARY ST, SUITE 2500, FLORENCE, AL 35630-4657
(256) 764-7710
(256) 765-3888
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-054374
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4133557
BLUE CROSS & BLUE SHIELD
TN
01
—
515-30969
BLUE CROSS & BLUE SHIELD
AL
Enumeration date
01/09/2007
Last updated
07/08/2007
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