Individual
MS. CARLA YVETTE BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
14217 WESTROPP, CLEVELAND, OH 44110
(216) 486-0870
Mailing address
1720 S GREEN RD, SOUTH EUCLID, OH 44121
(216) 382-0390
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN109255
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2351217
—
OH
Enumeration date
06/04/2007
Last updated
07/08/2007
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