Individual
AUDREY LOUISE BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1897 TUNDRA WAY, NOORVIK, AK 99763
(907) 636-2103
(907) 636-2195
Mailing address
1897 TUNDRA WAY, P.O. BOX 189, NOORVIK, AK 99763
(907) 636-2103
(907) 636-2195
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
10-1092-II42ALASKA
AK
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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