Individual
TIMOTHY E BEEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3927 RUCKER AVE, EVERETT, WA 98201-4833
(425) 317-3950
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 317-3950
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209009399
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60585194
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209-009399
CRNA LICENSE
IL
Enumeration date
02/22/2012
Last updated
12/11/2018
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