National Provider Identifier Database

ETHAN BEASLEY, APRN FNP-C – NPI #1831766831
Family


Contact Information

ETHAN BEASLEY, APRN FNP-C
740 S LIMESTONE STE L104
LEXINGTON, KY40536-1991
Phone: 859-257-3253
Fax: 859-323-1203
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for ETHAN BEASLEY

NPI Number 1831766831
Credentials APRN FNP-C
Entity Individual
Enumeration date 06/08/2021
Last updated 09/16/2022 - About 4 years ago
Sole proprietor1 Yes
Identifiers
  • KY License #: 3016193
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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