Provider Demographics
NPI:1396046579
Name:BEIDLER, ALETHA LEONE (RN, MSN CLINICA)
Entity type:Individual
Prefix:MRS
First Name:ALETHA
Middle Name:LEONE
Last Name:BEIDLER
Suffix:
Gender:F
Credentials:RN, MSN CLINICA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4302 WINDLESTRAW LN.
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-9081
Mailing Address - Country:US
Mailing Address - Phone:336-665-1657
Mailing Address - Fax:
Practice Address - Street 1:4302 WINDLESTRAW LN.
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-9081
Practice Address - Country:US
Practice Address - Phone:336-665-1657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-04
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCR.N.089443364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist