Individual
MELISSA BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2010 N 88TH ST, OMAHA, NE 68134-6102
(402) 496-1000
Mailing address
5321 S 138TH ST, OMAHA, NE 68137-2913
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
86776
NE
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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