Individual
LESLIE RENEE BEAUDRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1530 LONE OAK RD, PADUCAH, KY 42003-7901
(270) 444-2444
Mailing address
PO BOX 23798, LEXINGTON, KY 40523-3798
(859) 268-1030
(859) 269-4120
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3015010
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3015010
KENTUCKY CRNA LICENSE
KY
Enumeration date
08/31/2020
Last updated
08/31/2020
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