Individual
CRAIG E BEATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3589
(425) 502-3589
Mailing address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3000
(425) 502-3589
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
28151936A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60287495
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000531134
ANTHEM BCBS
IN
05
—
200382340
—
IN
Enumeration date
07/04/2006
Last updated
03/31/2021
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