Provider Demographics
NPI:1871637058
Name:BEASLEY, AMBER CHRISTA (LPN)
Entity type:Individual
Prefix:MS
First Name:AMBER
Middle Name:CHRISTA
Last Name:BEASLEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:CHRISTA
Other - Last Name:BACHMEIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:8374 S HOLLAND WAY UNIT 207
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-9260
Mailing Address - Country:US
Mailing Address - Phone:303-723-4285
Mailing Address - Fax:303-703-3487
Practice Address - Street 1:5500 S SYCAMORE ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-8201
Practice Address - Country:US
Practice Address - Phone:303-723-4285
Practice Address - Fax:303-703-3487
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207036163WG0000X
COPN44447163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice