Individual
MR. SCOTT A. BEEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-6494
Mailing address
3998 FAIR RIDGE DR., SUITE # 300, FAIRFAX, VA 22033-2921
(703) 293-9590
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
041-380995
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041-380995
LICENSE
IL
Enumeration date
12/28/2009
Last updated
03/27/2023
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