Provider Demographics
NPI:1174684260
Name:BEAUMONT, DENISE MICHELE (CRNA)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:MICHELE
Last Name:BEAUMONT
Suffix:
Gender:F
Credentials:CRNA
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Mailing Address - Street 1:36000 DARNALL LOOP
Mailing Address - Street 2:CARL R DARNALL ARMY MEDICAL CENTER
Mailing Address - City:FORT HOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76544
Mailing Address - Country:US
Mailing Address - Phone:254-288-8706
Mailing Address - Fax:254-288-7017
Practice Address - Street 1:36000 DARNALL LOOP
Practice Address - Street 2:CARL R DARNALL ARMY MEDICAL CENTER
Practice Address - City:FORT HOOD
Practice Address - State:TX
Practice Address - Zip Code:76544
Practice Address - Country:US
Practice Address - Phone:254-288-8706
Practice Address - Fax:254-288-7017
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-08-30
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Provider Licenses
StateLicense IDTaxonomies
TX722636367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered