Individual
VERNON R. BEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
750 MORPHY AVE, FAIRHOPE, AL 36532-1812
(251) 990-1109
(251) 990-1112
Mailing address
PO BOX 2715, DECATUR, AL 35602-2715
(256) 353-0826
(256) 350-2609
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-033685
AL
Other
Enumeration date
05/17/2006
Last updated
04/07/2016
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