Individual
AMBER FAITH BEAUCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3100
Mailing address
585 LEROY ST, FERNDALE, MI 48220-3300
(248) 918-9573
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
4704306567
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
6584
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125682
NBCRNA
—
01
—
19072090337
MI RN LICENSE
MI
01
—
331335
NC RN LICENSE
NC
01
—
6584
NC CRNA LICENSE
NC
Enumeration date
08/16/2018
Last updated
06/17/2025
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