Individual
PAULA ANNE BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3400 WAKE FOREST RD, RALEIGH, NC 27609-7317
(919) 954-3000
Mailing address
3100 SPRING FOREST RD STE 130, RALEIGH, NC 27616-2880
(919) 882-0774
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
76088
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8052661
—
NC
01
—
P00380377
RAILROAD-MEDICARE
NC
Enumeration date
10/04/2006
Last updated
07/21/2022
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