Individual
VINCENT ALAN BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2341 MCCALLIE AVE, SUITE 402, CHATTANOOGA, TN 37404-3239
(423) 698-3309
(423) 624-6355
Mailing address
PO BOX 3549, CHATTANOOGA, TN 37404-0549
(423) 698-3309
(423) 624-6355
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN13029
TN
367500000X
Certified Registered Nurse Anesthetist
RN141314
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3600198
—
TN
01
—
4177218
BLUE CARE
—
Enumeration date
01/30/2008
Last updated
06/17/2008
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