Basic Information
Provider Information
NPI: 1346525466
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BEESLEY
FirstName: ERIN
MiddleName: POPE
NamePrefix:  
NameSuffix:  
Credential: CRNA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 990 SYLVAN WAY
Address2:  
City: BREMERTON
State: WA
PostalCode: 983102851
CountryCode: US
TelephoneNumber: 3604793657
FaxNumber:  
Practice Location
Address1: 1229 MADISON ST STE 1440
Address2: SUITE M201
City: SEATTLE
State: WA
PostalCode: 981043538
CountryCode: US
TelephoneNumber: 2066250578
FaxNumber: 2066259184
Other Information
ProviderEnumerationDate: 10/20/2011
LastUpdateDate: 03/20/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000XAP60411092WAY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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