Organization
M. BEARDSLEE ANESTHESIA SVC. PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILENE O BEARDSLEE C.R.N.A. (OWNER/PRESIDENT)
(574) 267-6167
Entity
Organization
Contact information
Practice address
2101 DUBOIS DR, MARILENE BEARDSLEE C/O KOSCIUSKO COMMUNITY HOSPITAL, WARSAW, IN 46580-3210
(574) 267-3200
Mailing address
PO BOX 1296, WARSAW, IN 46581-1296
(574) 268-9640
(574) 268-0684
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28065229A
IN
Other
Enumeration date
04/29/2008
Last updated
01/24/2012
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