Provider Demographics
NPI:1235649229
Name:BEECHER, SUSAN (RN, CRNA)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:BEECHER
Suffix:
Gender:F
Credentials:RN, CRNA
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:
Other - Last Name:TRENZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:8754 CREEKSCAPE LN APT 1018
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45249-2067
Mailing Address - Country:US
Mailing Address - Phone:214-288-6297
Mailing Address - Fax:
Practice Address - Street 1:10500 MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-4402
Practice Address - Country:US
Practice Address - Phone:513-865-1111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-04
Last Update Date:2018-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH019577367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered