Individual
CATHY H. BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
53 MULBERRY ST, FRISCO CITY, AL 36445-4484
(251) 267-2880
(251) 267-2358
Mailing address
PO BOX 2048, MOBILE, AL 36652-2048
(251) 432-4117
(251) 436-7765
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
106501
AL
363L00000X
Nurse Practitioner
1065011
AL
363LF0000X
Family Nurse Practitioner
Primary
1-065011
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-065011
STATE LICENSE
AL
01
—
11990594
CAQH
AL
05
—
169114
—
AL
01
—
511-66113
BCBS
AL
Enumeration date
01/05/2009
Last updated
02/16/2016
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