Provider Demographics
NPI:1568492494
Name:BEEMER, SUSAN MURRAY (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:MURRAY
Last Name:BEEMER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2515 BRIGHTON PT
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330-9390
Mailing Address - Country:US
Mailing Address - Phone:919-774-9783
Mailing Address - Fax:
Practice Address - Street 1:2515 BRIGHTON PT
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-9390
Practice Address - Country:US
Practice Address - Phone:919-774-9783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC091256367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered