Individual provider · Type 1 NPI
Lewis Henry Beazlie Iii, RN, CNP, BC, CARN-AP
Adult Health Nurse Practitioner · Cleveland, OH
NPI number
1124111380
Active
Practice location
10701 East Blvd, Cvamc Varc Sa(w)
Cleveland, OH 44106-1702
Fax (216) 421-3218
Mailing address
588 Meredith Ln
Cuyahoga Falls, OH 44223-2591
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | NP-03858 (OH) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1124111380
Lewis Henry Beazlie Iii, RN, CNP, BC, CARN-AP's National Provider Identifier is 1124111380, issued on Oct 2, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Cleveland, OH. The record was last updated on Jul 8, 2007.