Provider Demographics
NPI:1578974465
Name:BEGLEY, NICHOLAS BRAD (CRNA)
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:BRAD
Last Name:BEGLEY
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15B FERRY BOAT RD
Mailing Address - Street 2:
Mailing Address - City:BIGELOW
Mailing Address - State:AR
Mailing Address - Zip Code:72016-7035
Mailing Address - Country:US
Mailing Address - Phone:501-343-8329
Mailing Address - Fax:
Practice Address - Street 1:4301 WEST MARKHAM SLOT 515
Practice Address - Street 2:UAMS DEPARTMENT OF ANESTHESIOLOGY
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205
Practice Address - Country:US
Practice Address - Phone:501-686-6114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-13
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR80598163W00000X
ARC003041367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse