Individual provider · Type 1 NPI

Anna D. Beasley, PA-C

Surgical Physician Assistant · Memphis, TN

NPI number 1376980045 Active

Practice location

6005 Park Ave, Lowenberg Building, Suite 802
Memphis, TN 38119-5202

Fax (901) 682-2143

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X2353 (TN)
Surgical Physician Assistant Primary 363AS0400X2025041627 (MO)

Surgical Physician Assistant: Definition to come...

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About NPI 1376980045

Anna D. Beasley, PA-C's National Provider Identifier is 1376980045, issued on Jun 4, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Memphis, TN. The record was last updated on Oct 22, 2025.