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CATHY H. BEATTY CRNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1932345485

Individual Registrant:
 CATHY H. BEATTY CRNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
53 MULBERRY ST  FRISCO CITY, AL 36445-4484 US
Tel: 251-267-2880  Fax: 251-267-2358

Contact information for business:
PO BOX 2048  MOBILE, AL 36652-2048 US
Tel: 251-432-4117  Fax: 251-436-7765

Registration Information:
NPI: 1932345485
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
AL1-065011
N363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
AL106501
N363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
AL1065011

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CAQH11990594AL01
STATE LICENSE1-065011AL01
BCBS511-66113AL01
169114AL05




HEALTH CARE JOBS AL - Page 1



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